Organization
LONE STAR PROSTHETICS, WICHITA FALLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN PETTIT LP (LICENSED PROSTHETIST)
(940) 285-5100
Entity
Organization
Contact information
Practice address
4020 RHEA RD STE 5D, WICHITA FALLS, TX 76308-2739
(940) 285-5100
Mailing address
PO BOX 200402, ARLINGTON, TX 76006-0402
(940) 285-5100
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
07/27/2025
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