| NPI | 1194066993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PAYNE President 972-548-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1314394) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |