| NPI | 1972596195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAXTER CEO/President 931-375-1775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 0079542) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2025-04-23 |