NPI age
19 years
Enumerated 2007-04-03
Across 741 active prosthetic/orthotic supplier providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0870677-01 | |
| 01 (TX) | 0606740001 | PTAN |
| 01 | JG3CCK4FZ5G6 | UEI |
Multi-provider organization. 1 individual provider on file at this primary address.
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