| NPI | 1730589938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANDREW HOGAN President 469-438-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |