Elite Prosthetics

LBN: Elite Prosthetics & Orthotics Inc
Elite Prosthetics is an health care organization with primary practice located at 2105 Franklin Ave , Waco TX 76701. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Elite Prosthetics & Orthotics Inc can be contacted via phone (254) 752-6352, or through Odling, Jon Emil via phone (254) 752-6352.

Contact Information

Primary practice address
2105 Franklin Ave Waco TX 76701
Fax: (254) 714-2314
Website:
Authorized official contact:
Name: Odling, Jon Emil

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 101117 Texas

Profile Details

NPI number 1003886003
LBN Legal business name Elite Prosthetics & Orthotics Inc
DBA Doing business as Elite Prosthetics
Authorized official Odling, Jon Emil
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Jun 17th, 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 1003886003 NPPES
Texas MEDICAID 1708059-02

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