| NPI | 1336245513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCMAHAN President Owner 214-692-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0039285) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-07-07 |