| NPI | 1487641692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY RICHARD WILLIAMS General Manager/Owner 915-599-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-09-19 |