| NPI | 1326023318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL O EKPENYONG Director 214-388-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0053787A) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |