| NPI | 1396840567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES V. DONAHUE VP, COO 972-487-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101105) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101073) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-01-11 |