| NPI | 1881715860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MEYERS Owner President Treasurer 940-723-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 00067) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: TX 000067) |
| 224P00000X Prosthetist (Licence: TX 000067) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 00067) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-04-16 |