| NPI | 1669074571 |
|---|---|
| Doing Business As | PARKCREST MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | JUDSON STURDIVANT CEO 512-697-9896 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2020-11-16 |