Provider Demographics
NPI:1154662864
Name:ADVANCED PROSTHETIC RESEARCH INC
Entity Type:Organization
Organization Name:ADVANCED PROSTHETIC RESEARCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JAN MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAINER
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:469-241-1477
Mailing Address - Street 1:7700 SAN JACINTO PL
Mailing Address - Street 2:STE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3254
Mailing Address - Country:US
Mailing Address - Phone:469-241-1477
Mailing Address - Fax:469-241-1433
Practice Address - Street 1:7700 SAN JACINTO PL
Practice Address - Street 2:STE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3254
Practice Address - Country:US
Practice Address - Phone:469-241-1477
Practice Address - Fax:469-241-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101432335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier