Organization
PRESCOTT LIMB & BRACES INC
Active
Other names
Prescotts Austin Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WAYNE PRESCOTT C.O. (OWNER)
(512) 452-6479
Entity
Organization
Contact information
Practice address
3906 N LAMAR BLVD, STE 100, AUSTIN, TX 78756-4000
(512) 452-6479
(512) 452-3222
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
101008
TX
Other
Enumeration date
12/14/2006
Last updated
11/13/2007
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