| NPI | 1750815411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LANCE MADISON President 918-935-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-05-20 |