| NPI | 1548409428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HORNYAK President 817-695-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0081452) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 1000043) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2011-06-21 |