=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235223918
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOP BRACE & LIMB,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 221 FM 1960 WEST SUITE H
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77090-3537
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-895-0539
-----------------------------------------------------
Fax | 281-895-8122
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 221 FM 1960 WEST SUITE H
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77090-3537
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-895-0539
-----------------------------------------------------
Fax | 281-895-8122
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MAY G GEE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-895-0539
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 101057
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------