| NPI | 1730287046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSS HAUSER CEO 936-441-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 336) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-12-19 |