in Tyler - Prosthetist

- NPI 1104976182

is a Prosthetist in Tyler, Texas. practices all healthcare services and medical treatments related to Prosthetist. The NPI Number for is 1104976182. The last update date is .

's current location address is 1122 E Front St, Tyler, Texas. You can contact this provider via phone number 9035926574 and fax number 9035953862. The mailing address for is 1122 E Front St, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1122 E Front St, Tyler, Texas
Phone Number 9035926574
Fax Number 9035953862
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1104976182
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1122 E Front St
City Tyler
State Texas (TX)
Post Code 757028414
Phone Number 9035926574
Fax Number 9035953862

Provider's Primary Taxonomy Detail

Speciality Prosthetist
Taxonomy 224P00000X
Licence No 25
Definition:
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an

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