| NPI | 1649281239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB L GRAGG Manager/Owner 918-742-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-02-20 |