| NPI | 1689625402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWAYNE ANDRUS CEO 940-691-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 36974) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |