| NPI | 1912011339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK R SIEN Owner/President 918-825-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 332B00000x) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |