| NPI | 1902867302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MICHAEL REEVES CEO 817-878-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2011-01-13 |