Organization
LAURIE DOWELL
Active
Other names
Arise Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE M DOWELL CP LP FAA OP (OWNER OPERATOR)
(903) 592-4737
Entity
Organization
Contact information
Practice address
704 S BOIS D ARC AVE, TYLER, TX 75701-1503
(903) 592-4737
(903) 535-9028
Mailing address
1910 ESE LOOP323, #119, TYLER, TX 75701-8337
(903) 542-4737
(903) 535-9028
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN #
TX
05
—
1637571
—
TX
Enumeration date
07/26/2005
Last updated
05/21/2020
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