| NPI | 1922805597 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEVON DOUGLAS LEON Authorized Official 972-803-5269 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2025-02-28 | 
| Last Update Date | 2025-08-08 |