| NPI | 1649259797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SHANKLE VP 972-699-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: TX 170552701) |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: TX 170552702) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2023-10-16 |