| NPI | 1568563609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M. WEICK Manager 972-571-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0069052) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-06-23 |