| NPI | 1457393787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRIE REESE Office Manager 817-536-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-06-29 |