| NPI | 1396315396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BRAD LARSON Owner / Physician 940-323-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |