| NPI | 1609036797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE STUART LEE SHEEN C.O.O 281-580-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2025-09-25 |