| NPI | 1720023286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNWOOD M ELLIS Manager 972-230-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0073639) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-07-22 |