Organization
PROCARE ORTHOTICS & PROSTHETICS INC
Active
Organization
PROCARE ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL E HEARN (MANAGER)
(713) 799-1000
Entity
Organization
Contact information
Practice address
11261 RICHMOND AVE STE 101, HOUSTON, TX 77082-2676
(713) 799-1000
(713) 799-1260
Mailing address
1311 PRINCE CREEK CT, KATY, TX 77450-4924
(713) 799-1000
(713) 799-1260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
56
TX
332B00000X
Durable Medical Equipment & Medical Supplies
101038
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143674301
—
TX
01
—
530861
BLUECROSS BLUESHIELD ID#
TX
Enumeration date
07/15/2005
Last updated
05/17/2021
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