| NPI | 1184230815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BOYCE Owner 832-418-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-09-06 |