| NPI | 1356121305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW THARP Owner 817-807-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |