Foot Pain Relief Store Llc in Live Oak - Prosthetic/orthotic Supplier
Foot Pain Relief Store Llc - NPI 1376570408
Foot Pain Relief Store Llc is a Prosthetic/orthotic Supplier in Live Oak, Texas. Foot Pain Relief Store Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Foot Pain Relief Store Llc is 1376570408. The last update date is 2009-05-13.
Foot Pain Relief Store Llc's current location address is 12406 Toepperwein Rd, Live Oak, Texas. You can contact this provider via phone number 2103268889. The mailing address for Foot Pain Relief Store Llc is 12406 Toepperwein Rd, Live Oak, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foot Pain Relief Store Llc |
|---|---|
| Address | 12406 Toepperwein Rd, Live Oak, Texas |
| Phone Number | 2103268889 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Holloway Patricia |
| Telephone Number | 5123740818 |
NPI Number Detail
| NPI Number | 1376570408 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2009-05-13 |
Provider Mailing Address Detail
| Address | 12406 Toepperwein Rd |
|---|---|
| City | Live Oak |
| State | Texas (TX) |
| Post Code | 782333230 |
| Phone Number | 2103268889 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | NOT APPLICAB |
|
Definition: An 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 physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 531408 | TX | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Foot Pain Relief Store Llc by the Centers for Medicare & Medicaid Services?
The Foot Pain Relief Store Llc has been assigned the NPI (National Provider Identifier) 1376570408 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Foot Pain Relief Store Llc located?
The Foot Pain Relief Store Llc is located at 12406 Toepperwein Rd, Live Oak, TX 782333230.
What is the Foot Pain Relief Store Llc's specialty and taxonomy code?
The Foot Pain Relief Store Llc's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Foot Pain Relief Store Llc receive the assignment of its 1376570408 from the Centers for Medicare & Medicaid Services?
The Foot Pain Relief Store Llc was issued its 1376570408 by the Centers for Medicare & Medicaid Services on 2006-06-26.
As of what date were the details pertaining to Foot Pain Relief Store Llc last refreshed?
The information related to the Foot Pain Relief Store Llc, including its address, specialty, and other relevant details, was last updated on 2009-05-13.
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