| NPI | 1881771491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ODLING Manager 254-265-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX CPO01753) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-01-11 |