| NPI | 1629218318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ALLEN Manager 940-889-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0068341) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2024-02-02 |