East Texas Prosthetic-Orthotic Care

LBN: East Texas Prosthetic-Orthotic Care
East Texas Prosthetic-Orthotic Care is an health care organization with primary practice located at 812 N 4Th St , Longview TX 75601-5413. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. East Texas Prosthetic-Orthotic Care can be contacted via phone (903) 236-4488, or through Wright, Robert M. via phone (903) 236-4488.

Contact Information

Primary practice address
812 N 4Th St Longview TX 75601-5413
Phone: (903) 236-4488
Fax: (903) 236-4607
Website:
Map and Directions
Authorized official contact:
Name: Wright, Robert M. C.P.O.
Phone: (903) 236-4488

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 000020 Texas

Profile Details

NPI number 1508048984
LBN Legal business name East Texas Prosthetic-Orthotic Care
DBA Doing business as
Authorized official Wright, Robert M. C.P.O.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Jun 25th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508048984 NPPES
Texas Other 519698 BLUE CROSS BLUE SHIELD
Texas MEDICAID 010236001 BLUE CROSS BLUE SHIELD

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