| NPI | 1700194701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DARNELL FUSTON Managing Member 405-314-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |