| NPI | 1528275252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE HAUSER CEO 936-441-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 000141) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-12-15 |