| NPI | 1154662864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN MORGAN GAINER Owner/Practitioner In Charge 469-241-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101432) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-04-09 |