| NPI | 1750534236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH AWA President/Onwer 972-415-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 653821) |
| Additional Taxonomies | 331L00000X Blood Bank (Licence: TX 653821) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: TX 653821) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 653821) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 653821) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 653821) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 653821) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |