Healthcare Provider Details

I. General information

NPI: 1508976671
Provider Name (Legal Business Name): NEW HOPE PROSTHETICS & ORTHODICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W 40TH AVE STE 4A
PINE BLUFF AR
71603
US

IV. Provider business mailing address

510 FOREST RIDGE RD
ROYAL AR
71968-9343
US

V. Phone/Fax

Practice location:
  • Phone: 870-536-2171
  • Fax: 870-536-2183
Mailing address:
  • Phone: 870-489-1803
  • Fax: 870-536-2183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberOPP0059
License Number StateAR

VIII. Authorized Official

Name: MR. GABRIEL GALSTER SR.
Title or Position: PRESIDENT/CEO
Credential: CP, LPO
Phone: 870-536-2171