| NPI | 1295959492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN JENKINS CEO 903-571-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 10128) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-06-12 |