| NPI | 1881416758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA GOFF TIMMONS Specialist 972-636-5890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-11-04 |