| NPI | 1912172487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE FEYISETAN Director 972-266-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0096529) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |