NPI | 1518945450 |
---|---|
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 |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 000006) |
335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101420) | |
Enumeration Date | 2006-01-01 |
Last Update Date | 2024-07-01 |