| NPI | 1780624148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE P. MCCLELLAN President/Owner 903-592-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 000086) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-07-16 |