| NPI | 1912911231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. BLOSSER Chief Executive Officer 903-551-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0086720) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |