Organization Active NPI

Muilenburg Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1265488811
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MUILENBURG PROSTHETICS, INC.
Practice address
3900 La Branch St
Houston, TX 77004
Phone
(713) 524-3949
Fax
(713) 524-3915
NPI assigned
May 25, 2006
Last updated
Jan 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ted Bruce Muilenburg, CPNPI 1619199619
Title
President
Phone
(713) 524-3949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X TX Primary
Prosthetist 224P00000X 407 TX

Addresses

Primary practice location

3900 La Branch St
Houston, TX 77004

Mailing address

PO Box 8313
Houston, TX 77288-8313
Phone (713) 524-3949

Other identifiers 1

IdentifierTypeStateIssuer
086146001MedicaidTX

National Provider Directory

National Provider Directory

Locations

3900 La Branch St
Houston, TX 77004
Phone (713) 524-3949

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1265488811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772888313",
            "telephone_number": "713-524-3949",
            "fax_number": "713-524-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LA BRANCH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77004",
            "telephone_number": "713-524-3949",
            "fax_number": "713-524-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUILENBURG PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "MUILENBURG",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-524-3949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086146001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.