| NPI | 1659441467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA MORSHETTE WELLS Owner 214-703-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0086322) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-16 |