Organization
EXTRA SENSORY TECHNOLOGY, L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN SALLOP (MANAGER)
(512) 614-8414
Entity
Organization
Contact information
Practice address
9005 LODGE CT, AUSTIN, TX 78758-6527
(512) 614-8414
Mailing address
9005 LODGE CT, AUSTIN, TX 78758-6527
(512) 614-8414
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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