| NPI | 1659910933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY LAMAR CORBET Owner 817-354-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |