| NPI | 1740354703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL SHAW WRENN Owner 817-568-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0057283) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |