Healthcare Provider Details

I. General information

NPI: 1487764916
Provider Name (Legal Business Name): BEST FIT PROSTHETICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NE LOOP 410 STE 118
SAN ANTONIO TX
78209-1612
US

IV. Provider business mailing address

1600 NE LOOP 410 STE 118
SAN ANTONIO TX
78209-1612
US

V. Phone/Fax

Practice location:
  • Phone: 210-946-6000
  • Fax: 210-946-6001
Mailing address:
  • Phone: 210-946-6000
  • Fax: 210-946-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LISA STRATTON
Title or Position: OWNER
Credential:
Phone: 210-946-6000