| NPI | 1396280251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT ORVILLE FULLER President 214-302-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |