Organization
PRESCOTTS LIMBS & BRACES, INC.
Active
Other names
Prescotts Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WAYNE PRESCOTT (OWNER/PRACTITIONER)
(210) 224-0726
Entity
Organization
Contact information
Practice address
6715 SAN PEDRO AVE, SAN ANTONIO, TX 78216-7218
(210) 224-0726
(210) 341-3164
Mailing address
6715 SAN PEDRO AVE, SAN ANTONIO, TX 78216-7218
(210) 224-0726
(210) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
000080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0917148-01
—
TX
Enumeration date
06/27/2006
Last updated
09/16/2015
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