| NPI | 1780866624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDUAK D EDWARDS Manager 972-329-6593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4569730001) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-06-25 |