<Unavail>
LBN: Gaston Avenue Prosthetics, Llc
<Unavail> is an health care organization with primary practice located at 5445 La Sierra Dr Ste 101 , Dallas TX 75231-3442. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Amputee, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Gaston Avenue Prosthetics, Llc can be contacted via phone (214) 265-5060, or through Miller-Mehary, Catherine Amy via phone (214) 265-5060.
Contact Information
Primary practice address
5445 La Sierra Dr Ste 101
Dallas TX 75231-3442
Phone: (214) 265-5060
Fax: (214) 265-9055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Amputee | 261QA0900X | 101185 | Texas |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 101185 | Texas |
Profile Details
| NPI number | 1245214568 |
|---|---|
| LBN Legal business name | Gaston Avenue Prosthetics, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Miller-Mehary, Catherine Amy CP,LP,BOCO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jun 1st, 2026 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245214568 | NPPES |
| Texas | Other | 532218 | BLUE CROSS BLUE SHIELD TX |
| Texas | MEDICAID | 1791246-01 | BLUE CROSS BLUE SHIELD TX |
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