MEDICARE: TEXAS QUALITY PROSTHETICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1275663239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS QUALITY PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	512 E DOVE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2241
Country	:	US
Telephone Number	:	956-668-7772
Fax Number	:	956-668-0771

Provider Business Practice Location Address
First Line	:	512 E DOVE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2241
Country	:	US
Telephone Number	:	956-668-7772
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CYNTHIA MENDEZ
Credential	:
Telephone Number	:	956-668-7772

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	12/12/2023

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