| NPI | 1871662569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI SMITH Secretary Treasurer 432-363-4271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-07-21 |