| NPI | 1184390106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E HEARN Manager 281-809-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-10-06 |