NPI | 1992278741 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER KENYON Credentialing Manager 214-947-4523 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-01-04 |