| NPI | 1811548050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRA BOGDAN Office Manager 214-618-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |