| NPI | 1962777599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DARREN BERRYHILL President 432-580-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 0046215) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2013-03-05 |