Organization · Type 2 NPI

Gaston Avenue Prosthetics, LLC

Prosthetic/Orthotic Supplier · Dallas, TX

NPI number 1245214568 Active

Practice location

5445 La Sierra Dr Ste 101
Dallas, TX 75231-3442

Fax (214) 265-9055

Specialties and licenses

TaxonomyCodeLicense
Amputee Clinic/Center 261QA0900X101185 (TX)
Prosthetic/Orthotic Supplier Primary 335E00000X101185 (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.