| NPI | 1568656890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL GREENE President 281-392-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 13420298252) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32033747950) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-03-12 |