Healthcare Provider Details

I. General information

NPI: 1619192531
Provider Name (Legal Business Name): NEW HOPE PROSTHETICS & ORTHODICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 DAVE WARD DR
CONWAY AR
72034
US

IV. Provider business mailing address

923 PARKWAY
CONWAY AR
72034-5349
US

V. Phone/Fax

Practice location:
  • Phone: 501-327-4342
  • Fax: 501-336-8176
Mailing address:
  • Phone: 501-327-4342
  • Fax: 501-336-8176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. GABRIEL M. GALSTER SR.
Title or Position: OWNER
Credential: C.P., LPO
Phone: 870-489-1803