| NPI | 1992974182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LEE DIESEL Owner 903-891-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 255) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 255) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-11-02 |