| NPI | 1992833289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN E FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |