Organization
NEW LIFE PROSTHETICS AND ORTHOTICS
Active
Organization
NEW LIFE PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT BOWDEN ATHA LPO (ORTHOTIST PROSTHETIST MANAGER)
(512) 252-7177
Entity
Organization
Contact information
Practice address
2013 WELLS BRANCH PKWY, STE 207, AUSTIN, TX 78728-6900
(512) 252-7177
(512) 252-7156
Mailing address
2013 WELLS BRANCH PKWY, STE 207, AUSTIN, TX 78728-6900
(512) 252-7177
(512) 252-7156
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
2
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143350002
—
TX
Enumeration date
09/26/2005
Last updated
04/23/2012
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