Organization
PRESCOTTS LIMBS & BRACES INC
Active
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 C.O. (OWNER)
(956) 791-1277
Entity
Organization
Contact information
Practice address
1306 N MALINCHE AVE, LAREDO, TX 78043-3356
(956) 791-1277
(956) 791-1279
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
000081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112427-01
—
TX
Enumeration date
12/14/2006
Last updated
06/10/2019
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