| NPI | 1891014072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLA WATSON SELLERS Owner 903-567-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |