Innovative Prosthetics INC

NPI #1578917654 in Southlake, Texas

Provider Information

NPI Number: 1578917654
Entity Type: Organization
Organization Name: Innovative Prosthetics INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Apr 14, 2016
Last Updated: Apr 14, 2016

Practice Location

Address: 935 S KIMBALL AVE
Address 2: STE 170
City: Southlake
State: Texas
ZIP Code: 76092-9032
Phone: (866) 923-0515

Authorized Official

Name: MRS. LISA MARIE WILLIAMS
Title: OWNER/BUSINESS MANAGER
Phone: (866) 923-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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