| NPI | 1619256591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KENNEDY Administrator 817-514-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2012-11-05 |