NPI age
13 years
Enumerated 2012-11-16
● Active Type 2 · Organization
Gulf Coast Prosthetics
Gulf Coast Prosthetics is 1 of 741 prosthetic/orthotic supplier organizations in Texas.
Primary specialty
Prosthetic/Orthotic Supplier
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kmiec
Owner
Last NPPES update
2024-02-14
Source: monthly bulk 2026-05
How this organization compares
Across 741 active prosthetic/orthotic supplier providers in Texas.
NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 28% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
27350 Blueberry Hill Dr, Suite 1
Conroe, TX 773858963
Mailing address
27350 Blueberry Hill Dr, Suite 1
Conroe, TX 773858963
Authorized official
Tracie Leighann Kmiec
Owner
📞 2812922255
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn 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...
-
Mastectomy FitterAn individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 332113502 |
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.