| NPI | 1649353335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A BOSWELL President 469-916-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0069110) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0069110) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0069110) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-04-07 |