| NPI | 1679640122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL BLUHM Owner 210-949-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1676) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1676) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-05-21 |