| NPI | 1295993509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA JEAN WILLETT Owner 817-624-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0067955) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-06-20 |