Prosthetic Science San Antonio Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

101348 Issued in TX

Legal business name

PROSTHETIC SCIENCE SAN ANTONIO INC

Practice address

4242 Medical Dr
Ste 7275
San Antonio, TX 78229-5640

Phone

(210) 949-0488

Fax

(210) 949-0499

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Julie Hollimon, CP

Title

Practitioner in Charge

Phone

(210) 393-4796

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1396048674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR",
            "address_2": "STE 7275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295640",
            "telephone_number": "210-949-0488",
            "fax_number": "210-949-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR",
            "address_2": "STE 7275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295640",
            "telephone_number": "210-949-0488",
            "fax_number": "210-949-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC SCIENCE SAN ANTONIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "HOLLIMON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTITIONER IN CHARGE",
        "authorized_official_telephone_number": "210-393-4796",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "101348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Health Services TX, Inc.
• Prospect Nix Home Health and Hospice, LLC
• Prosports Rehab
• Chester Prosser Jr.
• Prosthetic Innovations Inc
• Prosthetic Technology Center, Inc
• Prosthetics at Home LLC
• Kevin Proud, M.D.
• Charles Allen Proulx, PA-C
• Steven E Prouty

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.