Organization
PRESCOTT LIMB & BRACES INC
Active
Organization
PRESCOTT LIMB & BRACES INC
Active
Other names
Prescotts Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WAYNE PRESCOTT C.O. (OWNER)
(830) 990-8925
Entity
Organization
Contact information
Practice address
810 N LLANO ST, FREDERICKSBURG, TX 78624-3922
(830) 990-8925
(830) 606-3829
Mailing address
6715 SAN PEDRO AVE, SAN ANTONIO, TX 78216-7218
(210) 224-0726
(210) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101009
TX
Other
Enumeration date
12/14/2006
Last updated
11/13/2007
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