| NPI | 1417255605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN JUSTICE Corporate Office Manager 580-328-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2017-12-08 |