| NPI | 1134128366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDOLPH HARIG President/Owner 210-366-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0053879) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 000115) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |