| NPI | 1285629337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY EDWIN MCCRORY President 915-581-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 03322) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-05-15 |