| NPI | 1477545978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NICHOLAS THIELE Owner 806-359-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0069641) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-06-10 |