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Pediatric Prosthetics, Inc
Prosthetic/Orthotic Supplier in Houston, Texas
NPI 1538163183

Pediatric Prosthetics, Inc is a Prosthetic/Orthotic Supplier based in Houston, TX. Pediatric Prosthetics, Inc practices in Houston, TX. The NPI Number for Pediatric Prosthetics, Inc is 1538163183 and holds a License No. 101134 (Texas).

The current practice location address for Pediatric Prosthetics, Inc is 12926 Willow Chase Dr, Houston, TX and can be reached out via phone at 281-897-1108 and via fax at 281-897-8462.

Location: 12926 Willow Chase Dr, Houston, TX, 77070-5641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538163183
Provider Name
Pediatric Prosthetics, Inc
Credential
Provider Entity Type
Organization
Address
12926 Willow Chase Dr, Houston, TX, 77070-5641
Phone Number
281-897-1108
Fax Number
281-897-8462
Provider Enumeration Date
06/10/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
531649 01 TX BLUE CROSS BLUE SHIEL
1670572-01 05 TX
institution
Provider Business Practice Location Address Details
Address
12926 Willow Chase Dr
City
Houston
State
Texas
Zip
77070-5641
Phone Number
281-897-1108
Fax Number
281-897-8462
person
Provider Business Mailing Address Details
Address
12926 Willow Chase Dr
City
Houston
State
Texas
Zip
77070-5641
Phone Number
281-897-1108
Fax Number
281-897-8462
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
101134 (Texas)
Definition
An individual trained in the management of fitting prefabricated orthoses.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
101134 (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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