| NPI | 1821055823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GRACE O'CONNOR President 214-819-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: TX 101020) |
| 224P00000X Prosthetist (Licence: TX 101020) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-06-12 |