| NPI | 1639656119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA RENEE WILSON President 214-263-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1002198) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |