| NPI | 1467063172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK EMANUEL WATSON Owner/CEO 254-290-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2023-06-18 |