| NPI | 1245416692 |
|---|---|
| Doing Business As | MR. SHOES |
| Entity Type | Organization |
| Authorized Contact | TARA V. FIGUEROA Owner 270-926-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-06-02 |