| NPI | 1699899138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALLEN WILSON President 580-335-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 888623) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-01-30 |