| NPI | 1952318701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN RAGSDALE Owner 940-382-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 02872T) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |