| NPI | 1396817821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY DEANN RACE Manager 580-931-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK PT 2356) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |