| NPI | 1982858841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DOUGLAS JACKSON Owner 214-392-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2009-02-05 |