| NPI | 1972651354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEAN KOAY Owner 817-461-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0056567) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-11-14 |