Bulow Biotech Prosthetics, LLC
Prosthetic/Orthotic Supplier in San Antonio, TX. Organization (NPI-2).
NPI number1982988390
StatusActive
Last updated in NPPESMay 6, 2026
Details
- NPI
- 1982988390
- Entity type
- Organization (NPI-2)
- Legal business name
- Bulow Biotech Prosthetics, LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2011
- Certification date
- May 6, 2026
- Last updated
- May 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Formotion Clinic (Doing Business As)
Practice location
10114 Huebner RdSan Antonio, TX 78240-1319
Phone 210-614-4077 · Fax 210-614-4075
Mailing address
102 Woodmont Blvd Ste 400Nashville, TN 37205-5217
Phone 615-864-8788
Authorized official
Brad Gardner
Coo
6158648783
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