MUILENBURG PROSTHETICS, INC. (NPI# 1265488811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265488811 |
| Entity Type | Organization |
| Organization Name | MUILENBURG PROSTHETICS, INC. |
| Practice Address |
3900 La Branch St Houston TX 77004 |
| Mailing Address |
Po Box 8313 Houston TX 77288-8313 |
| Practice Telephone | 7135243949 |
| Practice Fax Number | 7135243915 |
| Mailing Telephone | 7135243949 |
| Mailing Fax Number | 7135243915 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | MR. TED BRUCE MUILENBURG (PRESIDENT) |
| Authorized Official Telephone | 7135243949 |
| Authorized Official Credential | CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | 407 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 086146001 | 05 |
| Street Address |
3900 LA BRANCH ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295172021 | Amelia Sue Rosetta-warren | Orthotist | 3900 La Branch St, Houston, TX 77004-4046 | 2013-06-03 |
| 1790927192 | Douglass John Wacker | Orthotist | 3900 La Branch St, Houston, TX 77004-4046 | 2009-03-31 |
| 1619199619 | Ted B Muilenburg | Prosthetist | 3900 La Branch St, Houston, TX 77004-4046 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917423 | Leggett Prosthetics LLC | Prosthetic/Orthotic Supplier | 1019 Homer St, Houston, TX 77091 | 2020-03-13 |
| 1396301644 | Freedom Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 17115 Red Oak Dr Ste 114, Houston, TX 77090-2607 | 2019-05-13 |
| 1043747231 | Hands of Transformation Hair Loss Clinic | Prosthetic/Orthotic Supplier | 11980 Westheimer Rd Ste G, Houston, TX 77077-6670 | 2017-05-18 |
| 1407303605 | Extravagant Hair Studio | Prosthetic/Orthotic Supplier | 12810 Mills Breeze Dr, Houston, TX 77070-1381 | 2016-09-06 |
| 1346604527 | Bmp Bracing LLC | Prosthetic/Orthotic Supplier | 3615 Willowbend Blvd Ste 428, Houston, TX 77054-1110 | 2016-04-13 |
| 1427416544 | Inmotion Prosthetics Houston LLC | Prosthetic/Orthotic Supplier | 7324 Southwest Fwy Ste 2-885, Houston, TX 77074-2012 | 2016-02-03 |
| 1639597792 | Cranial Technologies Inc. | Prosthetic/Orthotic Supplier | 929 Gessner Rd Ste 2205, Houston, TX 77024-2664 | 2014-04-04 |
| 1558798512 | Tiffani Chanels Beauty Supply, LLC | Prosthetic/Orthotic Supplier | 2578 S Loop W, Houston, TX 77054-2634 | 2013-10-03 |
| 1538430251 | F D Prasek Corporation | Prosthetic/Orthotic Supplier | 6420 Richmond Ave Ste 107, Houston, TX 77057-5923 | 2012-01-26 |
| 1649562539 | Advanced Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 11011 S Wilcrest Dr Ste D, Houston, TX 77099-4346 | 2011-05-10 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.