| NPI | 1962507673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALINDA JEAN ANTOINE CEO 817-461-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0046099) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-07-26 |