Organization
SOUTHWEST PROSTHETICS WACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD NELSON (OWNER)
(512) 931-9198
Entity
Organization
Contact information
Practice address
2410 WYCON DR STE 101, WACO, TX 76712-8990
(254) 224-6357
(254) 442-0248
Mailing address
2410 WYCON DR STE 101, WACO, TX 76712-8990
(254) 224-6357
(254) 442-0248
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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