Gaston Avenue Prosthetics, Llc

NPI 1245214568 - Clinic/Center - 261QA0900X

NPI Details
NPI 1245214568
Enumeration Date 11/30/2005
Last Updated 01/30/2012
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name CATHERINE AMY CATHERINE
Position PRESIDENT
Phone (214) 265-5060
Fax (214) 265-9055
Practice Location
9900 N CENTRAL EXPY
#205
DALLAS TX, 75231-4395, US
Phone (214) 265-5060
Fax (214) 265-9055
Business Location
9900 N CENTRAL EXPY
#205
DALLAS TX, 75231-4395, US
Phone (214) 265-5060
Fax (214) 265-9055
Toxanomy
Taxonomy Code 261QA0900X
License State Texas
License Number 101185
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According to our database, Gaston Avenue Prosthetics, Llc NPI is 1245214568, taxonomy code is 261QA0900X and license number is 101185, license state is located at Texas. Gaston Avenue Prosthetics, Llc physically located at 9900 N Central Expy, Dallas TX, 75231-4395. NPI Number 1033115704 has the healthcare provider type.

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1245214568 NPI number is provided on an as is basis without warranty of any kind. 1245214568 is maintained by the National Plan & Provider Enumeration System. The contents of Gaston Avenue Prosthetics, Llc are for informational purposes only.