| NPI | 1205057338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALLEN SCUDDAY Dpm Owner 915-533-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1149) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |