| NPI | 1083895619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI WELLS Director Of Operations 210-698-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101184) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2020-01-14 |