| NPI | 1639192529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E MYERS Owner 210-495-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101191) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-04-12 |