| NPI | 1598943219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ETTINGER Doctor 817-738-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0469) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-15 |