| NPI | 1972884104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ACEVES Owner/President 817-469-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |