Active NPI
Letourneau Lifelike Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Houston, TX
National Provider Identifier
1710075684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 101504
- Legal business name
- LETOURNEAU LIFELIKE ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 1340 Cypress Station Dr
A2
Houston, TX 77090-3050 - Phone
- (281) 580-9197
- Fax
- (281) 580-8156
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jan A Saunders
- Title
- Senior Vice President
- Phone
- (336) 397-2165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 101504 | TX | Primary |
Addresses
Primary practice location
1340 Cypress Station Dr
A2
Houston, TX 77090-3050
Mailing address
PO Box 24128
Winston Salem, NC 27114-4128
Phone (336) 397-2165
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280145801 | Medicaid | TX | |
| 530157 | Other | TX | BCBS OF TX |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Charlotte, NC
- NPI 1922048313
Member Of
Locations
1340 Cypress Station Dr
#A2
Houston, TX 77090
Phone (281) 580-9197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428364800000",
"number": "1710075684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24128",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271144128",
"telephone_number": "336-397-2165",
"fax_number": "336-397-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 CYPRESS STATION DR",
"address_2": "A2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770903050",
"telephone_number": "281-580-9197",
"fax_number": "281-580-8156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETOURNEAU LIFELIKE ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2015-04-07",
"status": "A",
"authorized_official_last_name": "SAUNDERS",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "336-397-2165",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "101504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280145801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "530157",
"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 Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.