Healthcare Provider Details

I. General information

NPI: 1174877476
Provider Name (Legal Business Name): LIMB SALVAGE CENTERS OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2012
Last Update Date: 11/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 NAVARRO ST STE 502
SAN ANTONIO TX
78205-2516
US

IV. Provider business mailing address

414 NAVARRO ST STE 502
SAN ANTONIO TX
78205-2516
US

V. Phone/Fax

Practice location:
  • Phone: 210-223-1145
  • Fax: 210-615-7619
Mailing address:
  • Phone: 210-733-0578
  • Fax: 210-587-8549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT NORTH DUNN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 210-223-1145