| NPI | 1629603741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY GALLIAN Billing/Crendentialing 214-437-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 101Y00000X Counselor |
| 1744P3200X Specialist, Prosthetics Case Management | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |