| NPI | 1588647226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK ROBISON HAGELSTEIN Chairman Of The Board 254-399-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0073075) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: TX 0073075) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 0073075) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2010-02-24 |