Organization
NEW LIFE BRACE & LIMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL BOONE (OWNER)
(281) 316-5805
Entity
Organization
Contact information
Practice address
250 BLOSSOM ST STE 200, WEBSTER, TX 77598-4243
(281) 316-5805
Mailing address
250 BLOSSOM ST STE 200, WEBSTER, TX 77598-4243
(281) 316-5805
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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