NPI | 1306590484 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN THOMAS FULLER Owner 469-395-8402 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-02-08 |
Last Update Date | 2022-02-08 |