| NPI | 1821019035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK HAGELSTEIN Chairman Of The Board 254-399-0444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-09-29 |