| NPI | 1720026198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENNA N. STRANGE Office Manager 972-647-8567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0038278) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-11-04 |