NPI | 1932363751 |
---|---|
Doing Business As | CUSTOM CARE ORTHOPEDIC BRACING LLC |
Entity Type | Organization |
Authorized Contact | STEVEN GLENN MCCULLOUGH Owner 903-592-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101171) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |