Organization · NPI-2

Nutech Orthotics & Prosthetics, LLC

Prosthetic/Orthotic Supplier · Brownsville, TX

NPI number1730252578
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1730252578
Entity type
Organization (NPI-2)
Legal business name
Nutech Orthotics & Prosthetics, LLC
Organization subpart
No
Enumeration date
Nov 17, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier85TXYes

Practice location

302 Lorenaly Dr
Suite G
Brownsville, TX 78526

Phone 956-350-0550 · Fax 956-350-0554

Mailing address

302 Lorenaly Dr
Suite G
Brownsville, TX 78526

Phone 956-350-0550 · Fax 956-350-0554

Authorized official

Douglass J Wacker
Member, Manager
9564125347

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