| NPI | 1093924433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES HAUSENFLUKE Owner 972-530-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1516) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1516) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-09-28 |