| NPI | 1821602418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAYE R WHITE Owner 713-348-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |