| NPI | 1770844664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GENE NELSON President 281-731-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101411) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-28 |