| NPI | 1477030930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON COLT CLAYPOOLE Member 214-404-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2025-05-19 |