| NPI | 1710965801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ROUSE Owner/Authorized Offical 405-639-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK 1-s-1133) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2021-12-10 |