| NPI | 1487892345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY BOCKOVER Owner 903-330-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |