| NPI | 1770105264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MITCHELL Administrator 903-744-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |