NPI | 1336186162 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLASS J. WACKER Member, Manager 956-412-5347 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 85) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2010-11-23 |