| NPI | 1790979144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP R. SIMMONS Owner 903-223-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-06-20 |