Healthcare Provider Details
I. General information
NPI: 1003185315
Provider Name (Legal Business Name): NEU LIMBS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2011
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
226 S ENTERPRIZE PKWY SUITE 110
CORPUS CHRISTI TX
78405
US
IV. Provider business mailing address
4242 MEDICAL DR STE 2100
SAN ANTONIO TX
78229-5641
US
V. Phone/Fax
- Phone: 361-445-3586
- Fax: 361-882-1049
- Phone: 210-698-9377
- Fax: 210-698-2544
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 101483 |
| License Number State | TX |
VIII. Authorized Official
Name:
FOREST
SEXTON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 541-601-6666