| NPI | 1275675035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GLENN CALDWELL Managing Member 972-375-3892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1224) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101229) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-02-06 |