| NPI | 1477487999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI RAZA KHOWAJA Authorized Official 469-915-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-07-28 |