| NPI | 1710292974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BOLEN DAVIS Manager 972-780-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |