| NPI | 1295753739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ACEVES President Owner 817-469-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |