| NPI | 1902898646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MARTIN Owner 918-478-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0066838) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-08-22 |