| NPI | 1710158332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PAUL MOSES President 817-800-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0093369) |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2013-06-07 |