| NPI | 1750095162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR ALFARAWATI Manager 469-766-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-02-21 |