| NPI | 1881020469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ASHBY Owner 888-380-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000711) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |