| NPI | 1295867315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BRATCHER Member 405-314-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-12-28 |