Organization
NEW LIFE BRACE AND LIMB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL BOONE (OWNER)
(281) 316-5805
Entity
Organization
Contact information
Practice address
1666 W BAKER RD # B, BAYTOWN, TX 77521-2271
(281) 427-8637
(281) 427-8639
Mailing address
1666 W BAKER RD # B, BAYTOWN, TX 77521-2271
(281) 427-8637
(281) 427-8639
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101294
TX
Other
Enumeration date
05/19/2009
Last updated
04/14/2015
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