| NPI | 1366505752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ODOEMENA Administrator 972-228-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5415750001) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-10-24 |