Wilson Prosthetics Clinic, Llc

LBN: Wilson Prosthetics Clinic, Llc
Wilson Prosthetics Clinic, Llc is an health care organization with primary practice located at 2711 Cartwright Rd , Missouri City TX 77459-2602. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Wilson Prosthetics Clinic, Llc can be contacted via phone (281) 403-0107, or through Wilson, Michael Thomas via phone (281) 403-0107.

Contact Information

Primary practice address
2711 Cartwright Rd Missouri City TX 77459-2602
Phone: (281) 403-0107
Fax: (281) 403-0113
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Michael Thomas CPO-LPO-FAAOP
Phone: (281) 403-0107

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 101123 Texas

Profile Details

NPI number 1689857450
LBN Legal business name Wilson Prosthetics Clinic, Llc
DBA Doing business as
Authorized official Wilson, Michael Thomas CPO-LPO-FAAOP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2007
Last updated Jun 20th, 2008 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689857450 NPPES
Texas MEDICAID Z05085353

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