Prosthetic-Orthotic Associates Of East Texas, Inc.
LBN: Prosthetic-Orthotic Associates Of East Texas, Inc.
Prosthetic-Orthotic Associates Of East Texas, Inc. is an health care organization with primary practice located at 1028 E Idel St , Tyler TX 75701-2024. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty.
Prosthetic-Orthotic Associates Of East Texas, Inc. can be contacted via phone (903) 592-6574, or through Mcclellan, Bruce P. via phone (903) 592-6574.
Contact Information
Primary practice address
1028 E Idel St
Tyler TX 75701-2024
Phone: (903) 592-6574
Fax: (903) 595-3862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 000086 | Texas |
Profile Details
| NPI number | 1780624148 |
|---|---|
| LBN Legal business name | Prosthetic-Orthotic Associates Of East Texas, Inc. |
| DBA Doing business as | |
| Authorized official | Mcclellan, Bruce P. CPO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 16th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780624148 | NPPES |
| Texas | Other | 079440601 | CSHCN-ORTHOTICS |
| Texas | Other | 079439801 | CSHCN-ORTHOTICS |
| Texas | Other | 515809 | CSHCN-ORTHOTICS |
| Texas | MEDICAID | 087369701 | CSHCN-ORTHOTICS |
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