| NPI | 1558461384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRENT MOORE President/Owner 918-335-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK 2-S-1070) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-11-25 |