| NPI | 1558360008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WING H CHUN CEO 972-818-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0076746) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0076746) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0076746) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-10-02 |