Organization
SOUTHWEST #1, LLC
Active
Organization
SOUTHWEST #1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NELSON (OWNER)
(915) 529-1411
Entity
Organization
Contact information
Practice address
5400 SUNCREST DR STE A1, EL PASO, TX 79912-5609
(915) 529-1411
(915) 529-1815
Mailing address
5400 SUNCREST DR STE A1, EL PASO, TX 79912-5609
(915) 529-1411
(915) 529-1815
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
01/29/2025
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