| NPI | 1972582690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MEISTER Owner/President 817-419-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-04-19 |