| NPI | 1962548917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON E OGBEIDE Owner 972-602-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5698740001) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-08-02 |