| NPI | 1275728263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JOYCE JOHNSON Dme Supplier 972-463-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0066957) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |