NPI | 1225159551 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY L RIFFLE Owner President 903-785-8922 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101177) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2007-08-02 |