| NPI | 1134516917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LEWIS EVP Of Licensure 512-806-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-04-01 |