| NPI | 1649118266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SHAVEN CEO 432-224-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-03-24 |