| NPI | 1154797512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH BURLESON Owner 214-450-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: TX 18004653203) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |