| NPI | 1427147412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R MUNN Owner/President 214-221-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4509014) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 4509014) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: UT 4509014) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |