| NPI | 1528330107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL BEATY Controller 940-387-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |