Gaston Avenue Prosthetics, Llc in Dallas - Amputee
Gaston Avenue Prosthetics, Llc - NPI 1245214568
Gaston Avenue Prosthetics, Llc is a Amputee in Dallas, Texas. Gaston Avenue Prosthetics, Llc practices all healthcare services and medical treatments related to Amputee. The NPI Number for Gaston Avenue Prosthetics, Llc is 1245214568. The last update date is 2012-01-30.
Gaston Avenue Prosthetics, Llc's current location address is 9900 N Central Expy, Dallas, Texas. You can contact this provider via phone number 2142655060 and fax number 2142659055. The mailing address for Gaston Avenue Prosthetics, Llc is 9900 N Central Expy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gaston Avenue Prosthetics, Llc |
|---|---|
| Address | 9900 N Central Expy, Dallas, Texas |
| Phone Number | 2142655060 |
| Fax Number | 2142659055 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Miller-Mehary Amy Catherine |
| Credentials | CP,LP,BOCO |
| Telephone Number | 2142655060 |
NPI Number Detail
| NPI Number | 1245214568 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2012-01-30 |
Provider Mailing Address Detail
| Address | 9900 N Central Expy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752314395 |
| Phone Number | 2142655060 |
| Fax Number | 2142659055 |
Provider's Primary Taxonomy Detail
| Speciality | Amputee |
|---|---|
| Taxonomy | 261Qa0900X |
| Licence No | 101185 |
|
Definition: An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 532218 | TX | BLUE CROSS BLUE SHIELD TX | |
| 1791246-01 | TX | -- |
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What is the unique 10-digit identification code issued to Gaston Avenue Prosthetics, Llc by the Centers for Medicare & Medicaid Services?
The Gaston Avenue Prosthetics, Llc has been assigned the NPI (National Provider Identifier) 1245214568 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Gaston Avenue Prosthetics, Llc located?
The Gaston Avenue Prosthetics, Llc is located at 9900 N Central Expy, Dallas, TX 752314395.
What is the Gaston Avenue Prosthetics, Llc's area of specialization and corresponding taxonomy classification?
The Gaston Avenue Prosthetics, Llc's specialty field is Amputee, and it falls under the taxonomy code 261Qa0900X, which categorizes healthcare providers based on their specialties.
On what date was the 1245214568 assigned to Gaston Avenue Prosthetics, Llc?
The Gaston Avenue Prosthetics, Llc was issued its 1245214568 on 2005-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gaston Avenue Prosthetics, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gaston Avenue Prosthetics, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-01-30.