| NPI | 1619231099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK GARDNER Owner 214-537-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 100912) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |