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Mr. Jesse C Goss
Prosthetic/Orthotic Supplier in Temple, Texas
NPI 1114102787

Jesse C Goss is a Prosthetic/Orthotic Supplier based in Fort Worth, TX. Jesse C Goss practices in Temple, TX. The NPI Number for Jesse C Goss is 1114102787 and holds a License No. 01313 (Texas).

The current practice location address for Jesse C Goss is 1103 S 31St St, Temple, TX and can be reached out via phone at 254-771-5002 and via fax at 254-771-5008.

Location: 1103 S 31St St, Temple, TX, 76116-8465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114102787
Provider Name
Jesse C Goss
Credential
Provider Entity Type
Individual
Gender
Male
Address
1103 S 31St St, Temple, TX, 76116-8465
Phone Number
254-771-5002
Fax Number
254-771-5008
Provider Enumeration Date
01/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01313 01 TX TEXAS BOARD
institution
Provider Business Practice Location Address Details
Address
1103 S 31St St
City
Temple
State
Texas
Zip
76504-5214
Phone Number
254-771-5002
Fax Number
254-771-5008
person
Provider Business Mailing Address Details
Address
1103 S 31St St
City
Temple
State
Texas
Zip
76504-5214
Phone Number
254-771-5002
Fax Number
254-771-5008
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
01313 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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