# PROSTHETIC SCIENCE SAN ANTONIO INC

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

## Provider details

- **NPI number:** 1396048674
- **Authorized official:** JULIE HOLLIMON CP (PRACTITIONER IN CHARGE)
- **Authorized official phone:** (210) 393-4796

## Contact information

- **Practice address:** 4242 MEDICAL DR, STE 7275, SAN ANTONIO, TX 78229-5640
- **Practice address phone:** (210) 949-0488
- **Practice address fax:** (210) 949-0499
- **Mailing address:** 4242 MEDICAL DR, STE 7275, SAN ANTONIO, TX 78229-5640
- **Mailing address phone:** (210) 949-0488
- **Mailing address fax:** (210) 949-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101348 | TX | Yes |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 06/21/2011