| NPI | 1770619405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE MARIE SALVANT CEO PIC 817-861-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0040686) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-12-21 |