| NPI | 1891027389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BOHANNON President 806-281-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-08-02 |