| NPI | 1396082665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY M TRAN Doctor 817-861-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |