| NPI | 1689188559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LEE VASQUEZ President 405-470-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |