| NPI | 1609758556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGINA MALOOF Treasurer 469-636-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |