| NPI | 1477706000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ETIM UMANA Administrator 903-595-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 163387701) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |