| NPI | 1134526296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN-MORGAN GAINER Owner/Operator 254-235-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1014897) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |