Alta Wellness Llc in San Antonio - Prosthetic/orthotic Supplier
Alta Wellness Llc - NPI 1922283175
Alta Wellness Llc is a Prosthetic/orthotic Supplier in San Antonio, Texas. Alta Wellness Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Alta Wellness Llc is 1922283175. The last update date is 2008-01-07.
Alta Wellness Llc's current location address is 602 Alta Ave, San Antonio, Texas. You can contact this provider via phone number 2109305505. The mailing address for Alta Wellness Llc is 602 Alta Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alta Wellness Llc |
|---|---|
| Address | 602 Alta Ave, San Antonio, Texas |
| Phone Number | 2109305505 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wagner Herald Willis |
| Telephone Number | 2109305505 |
NPI Number Detail
| NPI Number | 1922283175 |
|---|---|
| Provider Enumeration Date | 2008-01-07 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 602 Alta Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782094432 |
| Phone Number | 2109305505 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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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 |
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What is the Alta Wellness Llc's unique identification number?
The Alta Wellness Llc has been assigned the NPI (National Provider Identifier) Number 1922283175 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Alta Wellness Llc's physical address?
The Alta Wellness Llc is physically located at 602 Alta Ave, in the city of San Antonio, TX, with the postal code 782094432.
What is Alta Wellness Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alta Wellness Llc is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922283175 to Alta Wellness Llc?
The Alta Wellness Llc received its 1922283175 assignment from the Centers for Medicare & Medicaid Services on 2008-01-07.
As of what date were the details pertaining to Alta Wellness Llc last refreshed?
The information related to the Alta Wellness Llc, including its address, specialty, and other relevant details, was last updated on 2008-01-07.
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