| NPI | 1134121304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA D PHILLIPS Office Manager/ Co Owner 325-676-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101150) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-07-27 |