| NPI | 1801997788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHERO Contact 817-894-9436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0077863) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 6000007186) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-08-01 |