The Orthopedic Store in Corpus Christi - Prosthetic/orthotic Supplier
The Orthopedic Store - NPI 1134128366
The Orthopedic Store is a Prosthetic/orthotic Supplier in Corpus Christi, Texas. The Orthopedic Store practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for The Orthopedic Store is 1134128366. The last update date is 2020-08-22.
The Orthopedic Store's current location address is 4455 S Padre Island Dr, Corpus Christi, Texas. You can contact this provider via phone number 3618149600 and fax number 3618149602. The mailing address for The Orthopedic Store is 4455 S Padre Island Dr, Corpus Christi, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Orthopedic Store |
|---|---|
| Address | 4455 S Padre Island Dr, Corpus Christi, Texas |
| Phone Number | 3618149600 |
| Fax Number | 3618149602 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Harig Randolph John |
| Telephone Number | 2103662990 |
NPI Number Detail
| NPI Number | 1134128366 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4455 S Padre Island Dr |
|---|---|
| City | Corpus Christi |
| State | Texas (TX) |
| Post Code | 784115101 |
| Phone Number | 3618149600 |
| Fax Number | 3618149602 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 115 |
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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 unique provider identifier assigned to The Orthopedic Store?
The The Orthopedic Store has been issued the NPI (National Provider Identifier) 1134128366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the The Orthopedic Store located?
The The Orthopedic Store is located at 4455 S Padre Island Dr, Corpus Christi, TX 784115101.
What is The Orthopedic Store's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for The Orthopedic Store 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 assign the 1134128366 to The Orthopedic Store?
The Centers for Medicare & Medicaid Services assigned the 1134128366 to The Orthopedic Store on 2005-07-19.
When was the information regarding The Orthopedic Store most recently updated?
The details pertaining to the The Orthopedic Store, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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