| NPI | 1578663357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WAYNE HARRIS Manager 918-333-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-12-20 |