| NPI | 1871063420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CLARK National Contract Mgr. 512-806-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2023-08-17 |