| NPI | 1861800609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL CHRISTIAN BURRIS Owner/Secretary 405-203-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001377) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |