| NPI | 1417244195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LEWIS EVP Of Licensure And Compliance 512-806-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK CP2626) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-10-27 |