| NPI | 1962830364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY FOSTER Owner 903-337-1995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32052041038) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2015-09-25 |