| NPI | 1366448797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAUL BASSEY CEO 817-534-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0055999) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |