Provider Demographics
NPI:1619210705
Name:HOUSTON ARTIFICIAL LIMBS LLC
Entity Type:Organization
Organization Name:HOUSTON ARTIFICIAL LIMBS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-589-2040
Mailing Address - Street 1:11381 MEADOWGLEN LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6664
Mailing Address - Country:US
Mailing Address - Phone:281-589-2040
Mailing Address - Fax:281-589-2058
Practice Address - Street 1:11381 MEADOWGLEN LN
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6664
Practice Address - Country:US
Practice Address - Phone:281-589-2040
Practice Address - Fax:281-589-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies