| NPI | 1063902708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI CHINTAPALLI NEMANI Compliance Officer 512-552-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-01-23 |