| NPI | 1497707533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JUDSON DEMOTT President 903-592-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 101) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-07-21 |