| NPI | 1366592206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ETIM UMANA Administrator 903-595-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4591660001) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-09-15 |