| NPI | 1881121978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZIA M SIDDIQUI Owner 765-714-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-06-08 |