| NPI | 1154965739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M HAYES Owner 281-364-1122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-01-28 |