Provider Demographics
NPI:1275639288
Name:THE PROSTHETIC CENTER
Entity Type:Organization
Organization Name:THE PROSTHETIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:713-980-1698
Mailing Address - Street 1:3000 RICHMOND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3102
Mailing Address - Country:US
Mailing Address - Phone:713-980-1698
Mailing Address - Fax:713-980-1699
Practice Address - Street 1:3000 RICHMOND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3102
Practice Address - Country:US
Practice Address - Phone:713-980-1698
Practice Address - Fax:713-980-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5596380001Medicare ID - Type Unspecified