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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