| NPI | 1457158214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DELFIN CAMPANA Authorized Official 972-863-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-08-08 |