LOU A. RABURN (NPI# 1659458420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659458420 |
| Entity Type | Individual |
| Full Name | LOU A. RABURN |
| Practice Address |
1615 Texas Ave Bridge City TX 77611-3530 |
| Practice Telephone | 4097352930 |
| Practice Fax Number | 4097354513 |
| Mailing Telephone | 4097352930 |
| Mailing Fax Number | 4097354513 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 519608 | 01 |
| Street Address |
1615 TEXAS AVE |
| City | BRIDGE CITY |
| State | TX |
| Zip Code | 77611-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568583276 | Luv Lingerie and Boutique | Durable Medical Equipment & Medical Supplies | 1615 Texas Ave, Bridge City, TX 77611-3530 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550730 | Lan Thi Pham | Licensed Vocational Nurse | 840 Delaware Dr, Bridge City, TX 77611 | 2018-03-02 |
| 1548716442 | Sara L. Lewis, Csfa, LLC | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-08-30 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1407144363 | Yooshun Chung | Student in an Organized Health Care Education/Training Program | 1860 Texas Avenue, Bridge City, TX 77611 | 2011-07-13 |
| 1063588796 | Daniel A Crain | Family Medicine | 960 W Roundbunch Rd, Bridge City, TX 77611 | 2006-11-27 |
| 1144233388 | Jerry R Stone | Pharmacist | 1160 Texas Ave, Bridge City, TX 77611 | 2006-08-15 |
| 1679587034 | Scott Ballard | Chiropractor | 2158 Texas Avenue, Bridge City, TX 77611 | 2006-07-28 |
| 1457809907 | Sara Lewis | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-09-13 |
| 1093165870 | April Cockerham | Nurse Practitioner | 179 Tiger Lily St, Bridge City, TX 77611-2223 | 2016-06-13 |
| 1053736652 | Golden Triangle First Assisting, Pllc | Registered Nurse | 825 Carolina Dr, Bridge City, TX 77611-2309 | 2014-02-19 |
| Find all providers in zip 77611 | ||||
| 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 |
|---|---|---|---|---|
| 1821399924 | Luv Lingerie & Boutique,llc | Prosthetic/Orthotic Supplier | 2215 Texas Ave, Bridge City, TX 77611-2841 | 2010-11-05 |
| 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 | ||||
| City | BRIDGE CITY |
| Zip Code | 77611 |
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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.