| NPI | 1336124957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. MARTIN Owner 918-776-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-17 |