| NPI | 1851827844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREY POOL Regional Manager 817-789-6189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-10-08 |