LONE STAR PROSTHETICS, LLC (NPI# 1467953653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467953653 |
| Entity Type | Organization |
| Organization Name | LONE STAR PROSTHETICS, LLC |
| Practice Address |
2201 Brookhollow Plaza Dr Ste 350 Arlington TX 76006-7443 |
| Practice Telephone | 8176498144 |
| Practice Fax Number | 8448591443 |
| Mailing Telephone | 8176498144 |
| Mailing Fax Number | 8448591443 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | BRYAN WESLEY PETTIT (OWNER/PROSTHETIC PRACTITIONER) |
| Authorized Official Telephone | 8176498144 |
| Authorized Official Credential | LICENSED PROSTHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101595 | TX | Suppliers |
| Street Address |
2201 BROOKHOLLOW PLAZA DR STE 350 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76006-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
| 1184288169 | Door of Hope Counseling & Education | Counselor | 1201 North Watson Road, Suite 177, Arlington, TX 76006 | 2019-04-25 |
| 1851890081 | National Logistics LLC | Non-emergency Medical Transport (VAN) | 2715 Golden Creek Lane, Arlington, TX 76006 | 2018-02-02 |
| 1700396033 | Katrina Blakely | Registered Nurse | 2533 Thomason Circle Apt 170, Arlington, TX 76006 | 2017-09-29 |
| 1033635636 | Genxmed LLC | Durable Medical Equipment & Medical Supplies | 2221 E Lamar, Suite 900, Arlington, TX 76006 | 2017-08-16 |
| 1225558521 | Jessica Joanne Salas-figueroa | Specialist/Technologist | 36 Los Robles St, Arlington, TX 76006 | 2017-06-27 |
| 1851771372 | Donald Thomas Jr. | Pharmacist | 1221 Corporate Dr, Arlington, TX 76006 | 2015-06-01 |
| 1083093074 | Jerry Moore | Pharmacist | 1221 Corporate Drive East, Arlington, TX 76006 | 2015-05-22 |
| 1104212794 | Aac Dallas Outpatient Center, LLC | Clinic/Center | 2301 Avenue J, Arlington, TX 76006 | 2015-04-09 |
| 1982094785 | Mathias Ngwa | Psychologist | 1201 N Watson Rd Ste 228, Arlington, TX 76006 | 2015-01-31 |
| Find all providers in zip 76006 | ||||
| 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 |
|---|---|---|---|---|
| 1154849149 | Certified Prosthetics & Orthotics - East | Prosthetic/Orthotic Supplier | 2445 Army Navy Dr Ste 305, Arlington, VA 22206-2905 | 2017-08-30 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1487188900 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 631 Matlock Centre Cir, Arlington, TX 76015-2535 | 2017-04-12 |
| 1891232617 | Prosthetic One | Prosthetic/Orthotic Supplier | 3125 Matlock Rd Ste 100, Arlington, TX 76015-2905 | 2017-01-31 |
| 1386090819 | Choice Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 2445 Army Navy Dr Ste 301, Arlington, VA 22206-2988 | 2016-05-13 |
| 1174827604 | Embrace Diabetes Footwear Solutions | Prosthetic/Orthotic Supplier | 982 N Cooper St, Arlington, TX 76011-5779 | 2010-12-23 |
| 1023027679 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1400 S Hayes St, Arlington, VA 22202-5003 | 2006-08-05 |
| 1255841482 | Prosthetic One | Prosthetic/Orthotic Supplier | 3125 Matlock Rd Ste 100, Arlington, TX 76015 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1962001123 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 Clear Creek Rd Apt 110, Killeen, TX 76549-6685 | 2020-10-20 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1184230815 | Lindas Signature Hair Studio Inc | Prosthetic/Orthotic Supplier | 9415 Broadway St Ste 201, Pearland, TX 77584-8094 | 2020-09-18 |
| 1538773106 | Memorial Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 439 Mason Park Blvd Ste A1, Katy, TX 77450-4163 | 2020-09-01 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396355061 | Ameristep Prosthetics San Antonio | Prosthetic/Orthotic Supplier | 7271 Wurzbach Rd Ste 187, San Antonio, TX 78240-3800 | 2020-08-06 |
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1083230502 | Amazing Wig Closet | Prosthetic/Orthotic Supplier | 409 W Front St Ste 100-306, Hutto, TX 78634-4204 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
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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.