| NPI | 1952425795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ELBERT HEWETT President 405-364-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 72) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 72) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-06-14 |