Organization
FOURROUX PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W KEITH WATSON CPO (OWNER/PRESIDENT)
(256) 534-8672
Entity
Organization
Contact information
Practice address
2867 ACTON RD, VESTAVIA, AL 35243-2501
(205) 874-9683
(800) 963-5010
Mailing address
2743 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4103
(256) 534-8672
(800) 963-5010
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169009
—
AL
01
—
51154335
BCBS OF ALABAMA
AL
Enumeration date
03/10/2014
Last updated
06/12/2020
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