| NPI | 1952807133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANTIPUESTO Manager/Member 214-596-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |