| NPI | 1558452110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY DONNIA CHRISTMAN Certified Pedorthist 972-705-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 3090) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |