| NPI | 1598931461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP RAY SIMMONS Owner 903-223-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-06-20 |