| NPI | 1336114990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI HAMM Official 903-234-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1--5) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-07-21 |