Provider Demographics
NPI:1407441827
Name:NEU LIMBS, LLC
Entity Type:Organization
Organization Name:NEU LIMBS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:K
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:
Practice Address - Street 1:6631 S ZARZAMORA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3234
Practice Address - Country:US
Practice Address - Phone:503-977-0166
Practice Address - Fax:210-614-8795
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEU LIMBS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier