Organization
BIOADVANCE PROSTHETIC SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WAYNE WILLIAMS C.P.O., L.P (PROSTHETIST)
(972) 521-6101
Entity
Organization
Contact information
Practice address
1111 RAINTREE CIR, SUITE 150, ALLEN, TX 75013-4901
(972) 521-6101
(972) 521-6102
Mailing address
1111 RAINTREE CIR, SUITE 150, ALLEN, TX 75013-4901
(972) 521-6101
(972) 521-6102
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
1525
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
1525
TX
Other
Enumeration date
01/13/2016
Last updated
11/02/2020
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