NPI 1467953653

Lone Star Prosthetics, LLC

Organisation Prosthetic/Orthotic Supplier Arlington, TX

Practice location

Address: 2201 Brookhollow Plaza Dr STE 350, Arlington, TX 76006-7443
Phone: (817) 649-8144
Fax: (844) 859-1443

Authorised official

Name: Bryan Wesley Pettit
Title: Owner/Prosthetic Practitioner
Phone: (817) 649-8144

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 101595 (TX)

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Registry record

NPI: 1467953653
Entity type: Organization
NPI issued: 23 Feb 2018
Record last updated: 23 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.