| NPI | 1295262814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PATOCKI Owner 512-900-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 116337) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2018-10-25 |