NPI | 1427036367 |
---|---|
Former Legal Business Name | ALLEN BRACE COMPANY, WEST TEXAS PROSTHETIC SERVICES |
Entity Type | Organization |
Authorized Contact | FERNANDO ESTRADA ORDAZ President 432-683-3788 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101421) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101081) |
Enumeration Date | 2006-01-01 |
Last Update Date | 2020-10-21 |