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SPECIALTY PROSTHETIC & ORTHOTICS OF TEXAS NPI 1073756292


NPI Information

NPI: 1073756292
Provider Name: SPECIALTY PROSTHETIC & ORTHOTICS OF TEXAS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2222 WESTERN TRAILS BLVD
SUITE 102
AUSTIN, TX
ZIP 78745
Phone: (512) 826-7830
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SPECIALTY PROSTHETIC & ORTHOTICS OF TEXAS is a prosthetic orthotic supplier in Austin, 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. SPECIALTY PROSTHETIC & ORTHOTICS OF TEXAS NPI is 1073756292. The provider is registered as an organization entity type.

The provider's business location address is:

2222 WESTERN TRAILS BLVD
SUITE 102
AUSTIN, TX
ZIP 78745-682
Phone: (512) 826-7830
Fax: (210) 932-3040

The provider's authorized official is Edward Khu .
The authorized official title is President and has the following contact phone number (210) 932-3000.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 5/7/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1156537602MEDICAIDTEXAS
2156537601MEDICAIDTEXAS
34720840001MEDICARE 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: 4/28/2024

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