| NPI | 1649204694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SCOTT WILBURN President 817-626-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5468630001) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 5468630001) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-08-08 |