| NPI | 1972571719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PARKS Managing Owner 918-830-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: LA 16186548) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2025-03-27 |