| NPI | 1023543048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREESHIA E WILKINS Owner 817-899-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 226797) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |