| NPI | 1073747952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M JOLIVETTE WILLIAMS Business Office Supervisor 214-821-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101289) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2013-12-02 |