| NPI | 1720509763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHILDRESS President 214-724-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |