| NPI | 1306171285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP AIGBOGUN ERIMS Adminstrator 469-878-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |