| NPI | 1598138646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARK WISEMAN President 972-931-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 801645295) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2019-11-14 |