| NPI | 1720132996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA K KINNISON Chief Operating Officer 817-473-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-01-26 |