NPI: 1811946726 · SAN ANTONIO, TX 78229 · Prosthetic/Orthotic Supplier · NPI assigned 05/08/2006
| Authorized Official | WENSKE, DANIEL (PRESIDENT) |
| NPI Enumeration Date | 05/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $77.22 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2624 | Polishing/resurfacing of ocular prosthesis | 27 | 26 | $77.22 |