Organization
AUSTIN PROSTHETIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY RUSS JR. (PRESIDENT)
(512) 202-1550
Entity
Organization
Contact information
Practice address
1005 E SAINT ELMO RD BLDG 9, AUSTIN, TX 78745-1233
(512) 937-9310
(855) 630-9574
Mailing address
1005 EAST SAINT ELMO ROAD, BLDG 9, AUSTIN, TX 78745
(512) 937-9310
(855) 630-9574
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
101427
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TX
Other
Enumeration date
04/16/2013
Last updated
07/21/2022
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