| NPI | 1801388715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BRUNELLE Owner 469-323-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1002161) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |