Gaston Avenue Prosthetics, Llc is a Clinic/center (Amputee) in Dallas, Texas. It is situated at 9900 N Central Expy, #205, Dallas and its contact number is 214-265-5060. The authorized person of Gaston Avenue Prosthetics, Llc is Ms. Catherine Amy Miller-mehary
who is President of the store and his/her contact number is 214-265-5060. Primary license number for Gaston Avenue Prosthetics, Llc is 101185 in Texas. Gaston Avenue Prosthetics, Llc is an entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.
Complete Center Profile:
Gaston Avenue Prosthetics, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization:
Amputee, Clinic/center
Address:
9900 N Central Expy, #205, Dallas, Texas, 75231-4395
Phone:
214-265-5060
Fax:
214-265-9055
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Catherine Amy Miller-mehary
Position:
President
Contact Number:
214-265-5060
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gaston Avenue Prosthetics, Llc center are as mentioned below.
NPI Number:
1245214568
NPI Enumeration Date:
30 Nov, 2005
NPI Last Update On:
30 Jan, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gaston Avenue Prosthetics, Llc are as mentioned below.
Specialization
License Number
State
Status
Prosthetic/orthotic Supplier
101185
Texas
Primary
Amputee
101185
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
532218
Other
Texas
Blue Cross Blue Shield Tx
1791246-01
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gaston Avenue Prosthetics, Llc 9900 N Central Expy, #205 Dallas, Texas
Zip:
75231-4395
Phone Number:
214-265-5060
Fax Number:
214-265-9055
Patients can reach Gaston Avenue Prosthetics, Llc at 9900 N Central Expy, #205, Dallas, Texas or can call to book an appointment on 214-265-5060. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.