NPI 1740076280

Noah Womack, CPO

Practitioner Prosthetist Tyler, TX

Practice location

Address: 816 S Fleishel Ave, Tyler, TX 75701-2016
Phone: (903) 533-8202

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 2137 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 2137 (TX)

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Registry record

NPI: 1740076280
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2025
Record last updated: 18 Apr 2025

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.