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GULF BIOMECHANICAL LABORATORY LLC NPI 1619924826


NPI Information

NPI: 1619924826
Provider Name: GULF BIOMECHANICAL LABORATORY LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4045 E SOUTHCROSS BLVD
SAN ANTONIO, TX
ZIP 78222
Phone: (210) 495-3399
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GULF BIOMECHANICAL LABORATORY LLC is a prosthetic orthotic supplier in San Antonio, TX. The provider is 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. GULF BIOMECHANICAL LABORATORY LLC NPI is 1619924826. The provider is registered as an organization entity type.

The provider's business location address is:

4045 E SOUTHCROSS BLVD
SAN ANTONIO, TX
ZIP 78222
Phone: (210) 495-3399
Fax: (210) 495-3393

The provider's authorized official is Anthony E Myers .
The authorized official title is Owner and has the following contact phone number (210) 495-3399.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 4/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies101325TEXASNo
2335E00000XProsthetic/Orthotic Supplier101325TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1530555OTHERTEXASBLUECROSS O & P
2017055701MEDICAIDTEXAS
3091646202MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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