| NPI | 1598914418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE GENE BURCHETT Manager 214-273-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |