Organization
NEW LIFE BRACE & LIMB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL LYNN BOONE (OWNER)
(281) 316-5805
Entity
Organization
Contact information
Practice address
1 MEDIC LANE, ALVIN, TX 77511
(281) 331-4500
(281) 331-4502
Mailing address
250 BLOSSOM ST. #200, WEBSTER, TX 77598
(281) 316-5805
(281) 316-5970
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101307
TX
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/04/2009
Last updated
10/05/2010
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