| NPI | 1487943791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L STEVENSON Owner 469-867-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |