| NPI | 1629258561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT LEE Manager 214-505-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0094254) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |