| NPI | 1952415382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DALE MCCLANAHAN Owner 405-222-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK 18S1025) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 20377) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-12-15 |