| NPI | 1497842652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMMEN SANTIAGO CEO 817-310-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 114558) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-03-03 |