| NPI | 1578563193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ARDELL BLASINGAME Orthotist President 325-673-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 000055) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2013-01-16 |