| NPI | 1871763185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA O. ADENUGA Managing Employee 817-557-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0100320) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2009-07-16 |