| NPI | 1992451363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES HUDAK Business & Practice Manager 972-666-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-07-15 |