| NPI | 1396760401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY WAYNE HORN Vice President 903-675-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0056656) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0040665) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 2844334) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-02-11 |