| NPI | 1295923449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVELL EDWARD HICKS President 877-822-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 50966) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |