| NPI | 1194051383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKS RYAN RANEY Owner 936-634-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1418) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2019-06-25 |