Edgar De La Fuente in Longview - Prosthetic/orthotic Supplier
Edgar De La Fuente - NPI 1750323713
Edgar De La Fuente is a Prosthetic/orthotic Supplier in Longview, Texas. Edgar De La Fuente practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Edgar De La Fuente is 1750323713. The last update date is 2015-03-18.
Edgar De La Fuente's current location address is 719 N. Second Street, Longview, Texas. You can contact this provider via phone number 9035531040 and fax number 9035539996. The mailing address for Edgar De La Fuente is 719 N. Second Street, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar De La Fuente |
|---|---|
| Address | 719 N. Second Street, Longview, Texas |
| Phone Number | 9035531040 |
| Fax Number | 9035539996 |
| Sole Proprietor | Y |
| Credentials | LICENSED P |
NPI Number Detail
| NPI Number | 1750323713 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2015-03-18 |
Provider Mailing Address Detail
| Address | 719 N. Second Street |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756015316 |
| Phone Number | 9035531040 |
| Fax Number | 9035539996 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 233 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Edgar De La Fuente by the Centers for Medicare & Medicaid Services?
The Edgar De La Fuente has been assigned the NPI (National Provider Identifier) 1750323713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Edgar De La Fuente?
The Edgar De La Fuente is situated at 719 N. Second Street, in the city of Longview, state of TX, with the zip code 756015316.
What is Edgar De La Fuente's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edgar De La Fuente's area of specialization is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this field of practice is 335E00000X.
When did Edgar De La Fuente receive its 1750323713 assignment?
The Edgar De La Fuente was assigned its 1750323713 on 2006-06-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Edgar De La Fuente most recently updated or revised?
The details related to Edgar De La Fuente, including its address, specialty, and other relevant information, were last updated or revised on 2015-03-18.