| NPI | 1518670744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE RENEA DOUGLAS Manager 817-353-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-12-08 |