| NPI | 1427144682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWALE AKANNI SHODEKE Owner 817-548-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0075595) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-08-18 |