| NPI | 1396982401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMADU IGIETSU Owner 817-300-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0093044) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-09-23 |