| NPI | 1386317733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DEANN BOOHER Manager 817-298-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2022-03-16 |