| NPI | 1952142291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARENDRA GANGAVARAPU Authorized Official 469-577-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-06-17 |