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Jessica Portillo
Prosthetic/Orthotic Supplier in Houston, Texas
NPI 1316489370

Jessica Portillo is a Prosthetic/Orthotic Supplier based in Houston, TX. Jessica Portillo practices in Houston, TX. The NPI Number for Jessica Portillo is 1316489370 and holds a License No. (Texas).

The current practice location address for Jessica Portillo is 12611 Brookvale Dr, Houston, TX and can be reached out via phone at 832-329-5680. You can also correspond with Jessica Portillo through the mailing address at PO BOX 940003, HOUSTON, TX - 77094-7003 (mailing address contact number: 832-329-5680).

Location: 12611 Brookvale Dr, Houston, TX, 77094-7003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316489370
Provider Name
Jessica Portillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
12611 Brookvale Dr, Houston, TX, 77094-7003
Phone Number
832-329-5680
Fax Number
Provider Enumeration Date
11/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12611 Brookvale Dr
City
Houston
State
Texas
Zip
77038-2006
Phone Number
832-329-5680
Fax Number
person
Provider Business Mailing Address Details
Address
12611 Brookvale Dr
City
Houston
State
Texas
Zip
77038-2006
Phone Number
832-329-5680
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
332BD1200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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