Organization
LONE STAR PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WESLEY PETTIT LICENSED PROSTHETIST (OWNER/PROSTHETIC PRACTITIONER)
(817) 649-8144
Entity
Organization
Contact information
Practice address
2201 BROOKHOLLOW PLAZA DR STE 350, ARLINGTON, TX 76006-7443
(817) 649-8144
(844) 859-1443
Mailing address
2201 BROOKHOLLOW PLAZA DR STE 350, ARLINGTON, TX 76006-7443
(817) 649-8144
(844) 859-1443
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101595
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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