| NPI | 1568513984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK IYEN OMORAGBON President 972-974-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2009-09-29 |