Organization
MAJOR MIRACLES RX
Active
Organization
MAJOR MIRACLES RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MOORE (OWNER)
(512) 296-8129
Entity
Organization
Contact information
Practice address
1801 E 51ST ST STE 362, AUSTIN, TX 78723-3434
(512) 296-8129
(737) 273-9752
Mailing address
292 HOUSEFINCH LOOP, LEANDER, TX 78641-1766
(512) 296-8129
(737) 273-9752
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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