| NPI | 1730252578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLASS J WACKER Member, Manager 956-412-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 85) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |