| NPI | 1235595737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WAYNE WILLIAMS Prosthetist 972-521-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1525) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 1525) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2020-11-02 |