| NPI | 1902830110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PARKS Managing Owner 918-830-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-03-27 |