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Your Image Boutique Inc
Prosthetic/Orthotic Supplier in El Paso, Texas
NPI 1922105899

Your Image Boutique Inc is a Prosthetic/Orthotic Supplier based in El Paso, TX. Your Image Boutique Inc practices in El Paso, TX. The NPI Number for Your Image Boutique Inc is 1922105899 and holds a License No. (Texas).

The current practice location address for Your Image Boutique Inc is 3401 Montana Ave, El Paso, TX and can be reached out via phone at 915-564-5923 and via fax at 915-565-1310.

Location: 3401 Montana Ave, El Paso, TX, 79903-4330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922105899
Provider Name
Your Image Boutique Inc
Credential
Provider Entity Type
Organization
Address
3401 Montana Ave, El Paso, TX, 79903-4330
Phone Number
915-564-5923
Fax Number
915-565-1310
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010688201 05 TX
institution
Provider Business Practice Location Address Details
Address
3401 Montana Ave
City
El Paso
State
Texas
Zip
79903-4330
Phone Number
915-564-5923
Fax Number
915-565-1310
person
Provider Business Mailing Address Details
Address
3401 Montana Ave
City
El Paso
State
Texas
Zip
79903-4330
Phone Number
915-564-5923
Fax Number
915-565-1310
person
Provider's Taxonomy Details 1
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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