| NPI | 1528256724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SCOTT YOUNG Owner 361-992-7016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 224) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2015-06-11 |