| NPI | 1740492800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ORIE Manager 254-295-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0106077) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-10-10 |