| NPI | 1295940500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAIN RAY KLOSTERMANN CEO 325-795-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 550580000,651190000) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 550580000) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-05-15 |