| NPI | 1649494402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SHANKLE Owner 972-699-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 011186601) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-04-22 |