| NPI | 1952936577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE A HARRIS President 918-622-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2022-11-21 |