| NPI | 1922710672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LEWIS EVP Of Licensure And Compliance 512-806-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-09-24 |