| NPI | 1225293541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGLAS SHEPPERD Partner 210-805-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0042983) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 0042983) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-28 |