| NPI | 1881935021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RANELLE Manager 817-687-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |