Provider Demographics
NPI:1154961456
Name:H5 PROSTHETICS AND ORTHOTICS LLC
Entity type:Organization
Organization Name:H5 PROSTHETICS AND ORTHOTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GOMEZ
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPO, BOCPO
Authorized Official - Phone:210-481-4473
Mailing Address - Street 1:7410 JOHN SMITH DR STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6000
Mailing Address - Country:US
Mailing Address - Phone:210-481-4473
Mailing Address - Fax:210-481-4479
Practice Address - Street 1:7410 JOHN SMITH DR STE 213
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6000
Practice Address - Country:US
Practice Address - Phone:210-481-4473
Practice Address - Fax:210-481-4479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier