| NPI | 1457159519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON DOUGLAS LEON Authorized Official 214-434-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-08-08 |