Organization
PRECISION PROSTHETIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE E LEE (PRESIDENT/OWNER)
(915) 544-2961
Entity
Organization
Contact information
Practice address
1501 MISSOURI AVE, EL PASO, TX 79902
(915) 544-2961
(915) 544-2963
Mailing address
1501 MISSOURI AVE, EL PASO, TX 79902
(915) 544-2961
(915) 544-2963
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010983701
—
TX
05
—
016928601
—
TX
01
—
43501338
MEDICAID
NM
Enumeration date
02/15/2007
Last updated
11/28/2012
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