Healthcare Provider Details

I. General information

NPI: 1114839214
Provider Name (Legal Business Name): NEW DIMENSIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 ARROWHEAD DR
HARKER HEIGHTS TX
76548-1839
US

IV. Provider business mailing address

209 ARROWHEAD DR
HARKER HEIGHTS TX
76548-1839
US

V. Phone/Fax

Practice location:
  • Phone: 254-244-3324
  • Fax:
Mailing address:
  • Phone: 254-244-3324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. LAKEISHA V BLACKSHEAR-DELACRUZ
Title or Position: CRANIAL PROTHESIS SPECIALIST
Credential:
Phone: 254-244-3324