| NPI | 1336515436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART WHITNEY PHARR Owner 512-960-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 28864) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-11-13 |