Individual
MR. GARY W PRESCOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CO/LPO
Contact information
Practice address
6715 SAN PEDRO, SAN ANTONIO, TX 78216-7218
(210) 224-0726
(210) 341-3164
Mailing address
6715 SAN PEDRO, SAN ANTONIO, TX 78216-7218
(210) 224-0726
(210) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
000080
TX
Other
Enumeration date
11/18/2005
Last updated
07/09/2007
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