| NPI | 1982095634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH YSBRAND Manager 817-372-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 802151257) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |