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SAN ANTONIO PROSTHETICS CORPORATION NPI 1467465690


NPI Information

NPI: 1467465690
Provider Name: SAN ANTONIO PROSTHETICS, CORPORATION
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 45D2007454

Address:
2147 EL INDIO HWY
EAGLE PASS, TX
ZIP 78852
Phone: (830) 757-5183
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SAN ANTONIO PROSTHETICS, CORPORATION is a prosthetic orthotic supplier in Eagle Pass, TX. The provider is 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. SAN ANTONIO PROSTHETICS, CORPORATION NPI is 1467465690. The provider is registered as an organization entity type.

The provider's business location address is:

2147 EL INDIO HWY
EAGLE PASS, TX
ZIP 78852-455
Phone: (830) 757-5183
Fax: (830) 773-3298

The provider's authorized official is Lorenzo Lechuga Gonzalez .
The authorized official title is Orthotist Prosthetist Owner Pres and has the following contact phone number (210) 616-0761.

The CLIA number assigned to this NPI record is 45D2007454 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/15/2006 and was last updated on 10/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierLOP 101TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1212771401MEDICAIDTEXAS
20462010003MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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