| NPI | 1518092394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY WAYNE HORN Secretary 903-675-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0093778) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |