| NPI | 1609958982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY MICHAEL SMITH President 817-346-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0072472) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-01-25 |