| NPI | 1295061133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEX MARTINEZ C0 Owner 210-653-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2022-07-21 |