| NPI | 1497134084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN FULLER President 817-614-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |