| NPI | 1871781898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS H HUMBLE President 318-388-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 5896710001) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-08-04 |