| NPI | 1396687075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE Authorized Official 469-915-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-06-02 |