| NPI | 1760253207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD EDWARD HAINES Owner/President 469-400-4957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |