NPI | 1366109902 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN MARCUS LEICHLITER CEO 903-592-3300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2021-11-18 |
Last Update Date | 2023-03-27 |