| NPI | 1952639973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORY DEMETRUS LEVINGSTON Owner 214-497-5302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000164) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2010-06-27 |