| NPI | 1639240567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DIAZ Regulatory Compliance Analyst Ii 512-521-3330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2026-07-15 |