| NPI | 1275944092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOANA ALEXANDRA PORFIR Doctor 214-461-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 24228) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-08-21 |