Gulf Coast Prosthetics
LBN: Gulf Coast Prosthetics
Gulf Coast Prosthetics is an health care organization with primary practice located at 27350 Blueberry Hill Dr Suite 1, Conroe TX 77385-8963. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Gulf Coast Prosthetics can be contacted via phone (281) 292-2255, or through Kmiec, Tracie Leighann via phone (281) 292-2255.
Contact Information
Primary practice address
27350 Blueberry Hill Dr Suite 1
Conroe TX 77385-8963
Phone: (281) 292-2255
Fax: (281) 292-2299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter | 224900000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1801130620 |
|---|---|
| LBN Legal business name | Gulf Coast Prosthetics |
| DBA Doing business as | |
| Authorized official | Kmiec, Tracie Leighann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2012 |
| Last updated | Feb 14th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801130620 | NPPES |
| Texas | MEDICAID | 332113502 |
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