1689857450 NPI number — WILSON PROSTHETICS CLINIC, LLC

Table of content: (NPI 1689857450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689857450 NPI number — WILSON PROSTHETICS CLINIC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILSON PROSTHETICS CLINIC, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689857450
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2711 CARTWRIGHT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSOURI CITY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77459-2602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-403-0107
Provider Business Mailing Address Fax Number:
281-403-0113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2711 CARTWRIGHT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MISSOURI CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77459-2602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-403-0107
Provider Business Practice Location Address Fax Number:
281-403-0113
Provider Enumeration Date:
12/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WILSON
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
THOMAS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-403-0107

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  101123 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Z05085353 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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