| NPI | 1295753739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ACEVES President Owner 817-469-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-09-11 |