| NPI | 1912340100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL POLK CEO 469-371-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001108) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-01-08 |