Organization
INNOVATIVE PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE WILLIAMS (OWNER/BUSINESS MANAGER)
(866) 923-0515
Entity
Organization
Contact information
Practice address
935 S KIMBALL AVE, STE 170, SOUTHLAKE, TX 76092-9032
(866) 923-0515
(866) 981-5223
Mailing address
935 S KIMBALL AVE, STE 170, SOUTHLAKE, TX 76092-9032
(866) 923-0515
(866) 981-5223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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