| NPI | 1013195700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIXTO G VARGAS Owner 361-852-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 470) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 470) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2018-06-21 |