| NPI | 1780617381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DANIEL MARTINEZ President/Owner 210-616-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX LPO 101) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX LPO 101) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-09-14 |