| NPI | 1821155698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN Y CRUZAN President 940-395-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |