| NPI | 1437288479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BLAKE BURUM President 817-354-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0042868) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |