| NPI | 1689283145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB NEVILLE Owner 214-908-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-03-04 |