| NPI | 1649208224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK KALEEL Owner 318-335-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 10745) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |