| NPI | 1184679177 |
|---|---|
| Doing Business As | SPECIALTY SHOES & DIABETIC SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | DONNA C FLANAKIN Administrator 409-832-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2009-01-20 |