| NPI | 1881815306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALLEN SCUDDAY Dpm Owner 915-856-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1149) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |