| NPI | 1497020408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN E FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-06-14 |