| NPI | 1295022911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR BRYAN CLAY President/Owner 580-286-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 0128) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |