Organization
PERFORMANCE ORTHOTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DUANE GAINER CPED, B.O.C.F. (OWNER)
(281) 973-9913
Entity
Organization
Contact information
Practice address
22704 LOOP 494 STE E, KINGWOOD, TX 77339-2858
(281) 973-9913
(281) 973-9945
Mailing address
22704 LOOP 494 STE E, SUITE E, KINGWOOD, TX 77339-2858
(281) 973-9913
(281) 973-9945
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
12/28/2010
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