| NPI | 1578559654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD LYNN WOOLAM President 806-762-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0044528) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2009-10-22 |