| NPI | 1508950197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN PAUL PENNINGTON Managing Member 918-453-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK 36-S-1169) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-12-03 |