| NPI | 1376683169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY R WOODARD PIC 918-425-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 22775) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-12-20 |