| NPI | 1902118730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ABATE Owner 817-753-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000422) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2017-05-02 |