| NPI | 1891185054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYM GRANT Director 214-803-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 801737756) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |