| NPI | 1447354139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKENG ANSA HENSHAW Administrator 469-855-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-12-04 |