| NPI | 1508543489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WAGGONER President 214-202-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-20 |