| NPI | 1679454474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WAYNE ALLEN STELZIG Owner 214-500-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |