| NPI | 1689476095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BRADFORD IVES President 214-484-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |