| NPI | 1376808220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK P MUSACHIA President 832-816-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |