Organization
STAR MOBILITY PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE BENITEZ JR. (OWNER)
(210) 852-1664
Entity
Organization
Contact information
Practice address
27027 WESTHEIMER PKWY STE 1500, KATY, TX 77494-5500
(832) 913-8261
(832) 913-8267
Mailing address
9471 CELINE DR, SAN ANTONIO, TX 78250-5080
(210) 852-1664
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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