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Organization

GASTON AVENUE PROSTHETICS, LLC

Active
Other names
M-Power Prosthetics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHERINE AMY MILLER-MEHARY CP,LP,BOCO (PRESIDENT)
(214) 265-5060
Entity
Organization

Contact information

Practice address
5445 LA SIERRA DR STE 101, DALLAS, TX 75231-3442
(214) 265-5060
(214) 265-9055
Mailing address
9900 N CENTRAL EXPY, #205, DALLAS, TX 75231-4395
(214) 265-5060
(214) 265-9055

Taxonomy

Speciality
Code
Description
License number
State
261QA0900X
Amputee Clinic/Center
101185
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101185
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1791246-01
TX
01
532218
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
11/30/2005
Last updated
05/14/2026
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