Prosthetic-Orthotic Associates Of East Texas, Inc. in Tyler - Prosthetic/orthotic Supplier
Prosthetic-Orthotic Associates Of East Texas, Inc. - NPI 1780624148
Prosthetic-Orthotic Associates Of East Texas, Inc. is a Prosthetic/orthotic Supplier in Tyler, Texas. Prosthetic-Orthotic Associates Of East Texas, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Prosthetic-Orthotic Associates Of East Texas, Inc. is 1780624148. The last update date is 2021-07-16.
Prosthetic-Orthotic Associates Of East Texas, Inc.'s current location address is 1028 E Idel St, Tyler, Texas. You can contact this provider via phone number 9035926574 and fax number 9035953862. The mailing address for Prosthetic-Orthotic Associates Of East Texas, Inc. is 1028 E Idel St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prosthetic-Orthotic Associates Of East Texas, Inc. |
|---|---|
| Address | 1028 E Idel St, Tyler, Texas |
| Phone Number | 9035926574 |
| Fax Number | 9035953862 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mcclellan P. Bruce |
| Credentials | CPO |
| Telephone Number | 9035926574 |
NPI Number Detail
| NPI Number | 1780624148 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2021-07-16 |
Provider Mailing Address Detail
| Address | 1028 E Idel St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012024 |
| Phone Number | 9035926574 |
| Fax Number | 9035953862 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 86 |
|
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 |
|---|---|---|---|
| 79440601 | TX | CSHCN-ORTHOTICS | |
| 79439801 | TX | CSHCN-PROTHETICS | |
| 515809 | BCBS-TEXAS | ||
| 87369701 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Prosthetic-Orthotic Associates Of East Texas, Inc. by the Centers for Medicare & Medicaid Services?
The Prosthetic-Orthotic Associates Of East Texas, Inc. has been assigned the NPI (National Provider Identifier) 1780624148 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Prosthetic-Orthotic Associates Of East Texas, Inc. is physically located?
The Prosthetic-Orthotic Associates Of East Texas, Inc. is physically situated at the following address: 1028 E Idel St, Tyler, TX, 757012024.
What is Prosthetic-Orthotic Associates Of East Texas, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prosthetic-Orthotic Associates Of East Texas, Inc.'s specialized field of practice is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780624148 to Prosthetic-Orthotic Associates Of East Texas, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1780624148 to Prosthetic-Orthotic Associates Of East Texas, Inc. on 2006-06-07.
When was the information regarding Prosthetic-Orthotic Associates Of East Texas, Inc. most recently updated?
The details pertaining to the Prosthetic-Orthotic Associates Of East Texas, Inc., including its address, specialty, and other relevant information, were last refreshed on 2021-07-16.
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