Advanced Prosthetic Research Waco, Inc.
Organization Active NPI Prosthetic/Orthotic Supplier · Waco, TX
NPI 1134526296 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1134526296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 1014897 (TX)
- Legal business name
- ADVANCED PROSTHETIC RESEARCH WACO, INC.
- Practice address
- 2410 Wycon Dr
Ste 101
Waco, TX 76712-8957 - Phone
- (254) 235-1477
- Fax
- (855) 710-8016
- NPI assigned
- Dec 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jan-Morgan Gainer, LP
- Title
- Owner/Operator
- Phone
- (254) 235-1477
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 1014897 | TX | Yes |
Addresses
Primary practice location
2410 Wycon Dr
Ste 101
Waco, TX 76712-8957
Mailing address
PO Box 251729
Plano, TX 75025-1729
Phone (469) 219-7878
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.