| NPI | 1497895817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL BOONE Prosthetist 281-316-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX C22293) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-04-14 |