Provider Demographics
NPI:1003185315
Name:NEU LIMBS, LLC
Entity Type:Organization
Organization Name:NEU LIMBS, LLC
Other - Org Name:HILL COUNTRY ORTHOTICS & PROSTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-698-9377
Mailing Address - Street 1:4242 MEDICAL DR STE 2100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5641
Mailing Address - Country:US
Mailing Address - Phone:210-698-9377
Mailing Address - Fax:210-698-2544
Practice Address - Street 1:226 S ENTERPRIZE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405
Practice Address - Country:US
Practice Address - Phone:361-445-3586
Practice Address - Fax:361-882-1049
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEU TECHNOLOGY INNOVATIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-16
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101483335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX352008201Medicaid
TX6761940002OtherMEDICARE