Organization
MUILENBURG PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED BRUCE MUILENBURG CP (PRESIDENT)
(713) 524-3949
Entity
Organization
Contact information
Practice address
3900 LA BRANCH ST, HOUSTON, TX 77004
(713) 524-3949
(713) 524-3915
Mailing address
PO BOX 8313, HOUSTON, TX 77288-8313
(713) 524-3949
(713) 524-3915
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
407
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086146001
—
TX
Enumeration date
05/25/2006
Last updated
01/31/2011
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