| NPI | 1417063660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LORRAINE MARTINEZ President/Owner 915-564-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 000053) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |