| NPI | 1972655363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH WILLENBORG M.D. 972-420-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX L3525) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |