| NPI | 1851832448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIA BAYLY Secretary 281-785-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101571) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |