| NPI | 1497747158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE D STEWART President, Owner 940-243-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 000021,423,1175) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-01-14 |