| NPI | 1740515782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CLARK National Payor Relations Mgr. 512-806-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2024-04-11 |