| NPI | 1881410579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON MUNFORD Authorized Official 469-915-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-02-05 |