Organization
NEVADA LIMB & BRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN A GARDEA (MANAGING MEMBER)
(702) 899-1700
Entity
Organization
Contact information
Practice address
1505 WIGWAM PKWY SUITE 141, HENDERSON, NV 89074-8195
(702) 899-1700
(702) 899-1813
Mailing address
1505 WIGWAM PKWY SUITE 141, HENDERSON, NV 89074-8195
(702) 899-1700
(702) 899-1813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
05/13/2020
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