| NPI | 1629688999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY NICOLE HOLDERBY Executive Assistant 682-304-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |