| NPI | 1811379043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WEBSTER UPTON Sec/Tres 972-566-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX dr4071) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |