Organization
NUTECH ORTHOTICS & PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLASS J WACKER CPO, LPO (MEMBER, MANAGER)
(956) 350-0550
Entity
Organization
Contact information
Practice address
302 LORENALY DR. STE. G, BROWNSVILLE, TX 78526
(956) 350-0550
(956) 350-0554
Mailing address
302 LORENALY #G, BROWNSVILLE, TX 78526
(956) 350-0550
(956) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
85
TX
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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