| NPI | 1659568590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY BLUME LOE CEO Owner 903-893-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0099275) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-07-03 |