| NPI | 1740446699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT L CARTER Director 469-438-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |