| NPI | 1013038041 |
|---|---|
| Former Legal Business Name | VICTORIA BRACE CO |
| Entity Type | Organization |
| Authorized Contact | WILFORD LEE YOUNG CEO,; C.O.; L.P.O. 361-882-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101063) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-06-22 |