| NPI | 1376559104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LEE COLE Treasurer 254-751-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0082357) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |