| NPI | 1184824807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL E PRESLEY Licensed Orthotist/Prosthetist 936-622-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 55) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-04-22 |