| NPI | 1902005986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN ASELAGE Owner 361-854-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 203) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |