| NPI | 1912390766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH YSBRAND Manager 817-372-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 802172530) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |