| NPI | 1316181654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN QUINN CHRISTENSEN CEO/ Owner 469-878-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0109743) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2023-08-16 |