| NPI | 1730523507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY CALICOTT Corporate Secretary 817-741-4331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001019) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2015-04-28 |