| NPI | 1639804909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK GOSSE CEO 214-608-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |