| NPI | 1972666543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L KOVAR Manager 972-889-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0080409) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-10-02 |