| NPI | 1861716896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DARREN BERRYHILL President 432-580-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0046215) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |