Southwest Prosthetics Waco LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOUTHWEST PROSTHETICS WACO LLC

Practice address

2410 Wycon Dr Ste 101
Waco, TX 76712-8990

Phone

(254) 224-6357

Fax

(254) 442-0248

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Ronald Nelson

Title

Owner

Phone

(512) 931-9198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1972496867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 WYCON DR STE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128990",
            "telephone_number": "254-224-6357",
            "fax_number": "254-442-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 WYCON DR STE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128990",
            "telephone_number": "254-224-6357",
            "fax_number": "254-442-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PROSTHETICS WACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-931-9198"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Soukup, DNP
• Soumava Sen, DDS, P.C.
• South Limestone Hospital District
• South Limestone Hospital District
• South Limestone Hospital District
• Robert A Sowder, R.PH.
• Sherry Celete Spacek-Llanas, MD
• Latrisha Faye Spain, MD
• Spainhour Nutrition Therapy
• Stephani Renee Spainhour, RD

• All providers in Waco, TX
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.