| NPI | 1255417929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETTE CALDERON Practice Manager 915-566-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101202) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-06-12 |