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Contact Information

GASTON AVENUE PROSTHETICS, LLC
5445 LA SIERRA DR STE 101
DALLAS, TX75231-3442
 Phone: 214-265-5060
 Fax: 214-265-9055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Amputee

261QA0900X
Indicates primary specialty

NPI Profile & details for GASTON AVENUE PROSTHETICS, LLC

NPI Number 1245214568
LBN Legal business name GASTON AVENUE PROSTHETICS, LLC
Authorized official CATHERINE MILLER-MEHARY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2005
Last updated 05/14/2026 - About 3 weeks ago
Identifiers
TX License # 101185
TX Medicaid 1791246-01
TX Other 532218 BLUE CROSS BLUE SHIELD TX
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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