| NPI | 1609059781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN HARPER Manager 1877-854-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32034027535) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |