| NPI | 1700102902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DJ WOODY Pres 903-462-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32041471643) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2011-11-04 |