| NPI | 1982077152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEON COOK Owner 817-441-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 15778) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |