| NPI | 1508104274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MICHELLE GENGO Owner/Managing Member 469-343-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001063) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |