NPI | 1407185242 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHAN TYLER BRAGG President 318-542-3694 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-12-07 |
Last Update Date | 2009-12-07 |