Gulf Coast Prosthetics

NPI #1801130620 in Conroe, Texas

Provider Information

NPI Number
1801130620
Entity Type
Organization
Organization Name
Gulf Coast Prosthetics
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Nov 16, 2012
Last Updated
Feb 14, 2024

Practice Location

Address
27350 BLUEBERRY HILL DR
Address 2
SUITE 1
City
Conroe
State
Texas
ZIP Code
77385-8963
Phone
(281) 292-2255

Authorized Official

Name
TRACIE LEIGHANN KMIEC
Title
OWNER
Phone
(281) 292-2255

Specialties & Taxonomy Codes

Specialty
Mastectomy Fitter
Prosthetic/Orthotic Supplier

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