| NPI | 1962685149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEY CAMPBELL Office Manager 210-655-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101148) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0078720) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |