| NPI | 1407855760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDOLPH HARIG President/Owner 210-366-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0046447) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101021) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 643020002) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 550000000) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |