| NPI | 1457513681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH HEATH JOHNSON Principal 214-734-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2008-06-29 |