| NPI | 1992881668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL DRENNAN KNIGHT Consultant 915-532-3592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: TX N/A) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |