Organization
BAY AREA PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE SCOTT YOUNG (OWNER)
(361) 992-7016
Entity
Organization
Contact information
Practice address
6901 S PADRE ISLAND DR, STE 103B, CORPUS CHRISTI, TX 78412-4929
(361) 992-7016
(361) 992-7369
Mailing address
6901 S PADRE ISLAND DR, STE 103B, CORPUS CHRISTI, TX 78412-4929
(361) 992-7016
(361) 992-7369
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078936401
—
TX
Enumeration date
10/12/2007
Last updated
06/11/2015
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