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NPI Code Detail

MEDICARE: PRESCOTTS LIMBS & BRACES, INC.

MEDICARE: PRESCOTTS LIMBS & BRACES, 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
1335E00000XProsthetic/Orthotic Supplier000082TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801958376
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESCOTTS LIMBS & BRACES, INC.
Provider Business Mailing Address
First Line : 6715 SAN PEDRO AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-7218
Country : US
Telephone Number : 210-224-0726
Fax Number : 210-341-3164
Provider Business Practice Location Address
First Line : 945 LOOP 337
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-3556
Country : US
Telephone Number : 830-606-2716
Fax Number : 830-606-3829
Authorized Official
Title or Position : OWNER
Name : MR. GARY WAYNE PRESCOTT
Credential : C.O.
Telephone Number : 830-606-2716
Provider Enumeration Date : 12/14/2006
Last Update Date : 08/26/2016

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Directions to “PRESCOTTS LIMBS & BRACES, INC. ” Practice Location

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