Organization
NEW LIFE BRACE AND LIMB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL BOONE (PROSTHETIST)
(281) 316-5805
Entity
Organization
Contact information
Practice address
250 BLOSSOM ST STE 200, WEBSTER, TX 77598-4243
(281) 316-5805
(281) 316-5970
Mailing address
250 BLOSSOM ST STE 200, WEBSTER, TX 77598-4243
(281) 316-5805
(281) 316-5970
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C22293
TX
Other
Enumeration date
02/07/2007
Last updated
04/14/2015
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