| NPI | 1700892593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R TREBERT Owner 214-634-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0052443) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |