# NUTECH ORTHOTICS & PROSTHETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104922301
- **Authorized official:** DOUGLASS J WACKER CPO, LPO (MEMBER, MANAGER)
- **Authorized official phone:** (956) 350-0550

## Contact information

- **Practice address:** 302 LORENALY DR. STE. G, BROWNSVILLE, TX 78526
- **Practice address phone:** (956) 350-0550
- **Practice address fax:** (956) 350-0554
- **Mailing address:** 302 LORENALY \#G, BROWNSVILLE, TX 78526
- **Mailing address phone:** (956) 350-0550
- **Mailing address fax:** (956) 350-0554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 85 | TX | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020