| NPI | 1689702508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VOSS Adm Assistant 903-793-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 16) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-07-21 |