Organization · Type 2 NPI
Gaston Avenue Prosthetics, LLC
Prosthetic/Orthotic Supplier · Dallas, TX
Practice location
5445 La Sierra Dr Ste 101
Dallas, TX 75231-3442
Fax (214) 265-9055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Amputee Clinic/Center | 261QA0900X | 101185 (TX) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 101185 (TX) |
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.
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About NPI 1245214568
Gaston Avenue Prosthetics, LLC's National Provider Identifier is 1245214568, issued on Nov 30, 2005. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Dallas, TX. The record was last updated on Jun 1, 2026.