| NPI | 1588856348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKEAVER MECHAEL RIVERS Owner 972-455-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 800768978) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-10-01 |