| NPI | 1801802699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE LEWIS Owner/President 580-357-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 847868) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |