| NPI | 1902274186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MEYER Owner 817-431-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2017-10-03 |