| NPI | 1750527636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMIDIRAN EDWARD OMISAKIN Owner 972-805-7157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: na) |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2008-12-26 |