Individual provider · Type 1 NPI

Douglass John Wacker, C.P.O.

Prosthetist · Houston, TX

NPI number 1790927192 Active

Practice location

3900 La Branch St
Houston, TX 77004-4046

Fax (713) 524-3915

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000X85 (TX)
Orthotist 222Z00000X85 (TX)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1790927192

Douglass John Wacker, C.P.O.'s National Provider Identifier is 1790927192, issued on Mar 31, 2009. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Houston, TX. The record was last updated on Nov 30, 2016.