| NPI | 1265488811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED BRUCE MUILENBURG President 713-524-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 407) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-01-31 |