| NPI | 1306150800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GEORGE CRAIG President 325-200-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101335) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 101335) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-11-05 |