| NPI | 1770525214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCA MBANAJA SIMIEN Partner 972-943-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0064001) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32002607763) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-08-19 |