| NPI | 1578736856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE K. BOYD Dr. 662-286-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MS 80100) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2010-10-08 |