| NPI | 1801890504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOMINGO MARTINEZ Orthotist/Owner 210-496-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101162) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |