| NPI | 1659567204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DENT Vice President 254-238-1707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32033736698) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2010-11-15 |