| NPI | 1568456937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEE NICOLA DAFONTE President 281-498-3566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 000125) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-06-01 |