| NPI | 1356346738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LEROY STAFFORD Owner 918-968-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-04-20 |