SUPERIOR PROSTHETICS & ORTHOTICS LLC NPI 1235195330

NPI Information

  • NPI: 1235195330
  • Provider Name: SUPERIOR PROSTHETICS & ORTHOTICS LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: BACILIO V. MORENO
  • Address: 7400 LOUIS PASTEUR
    STE 202
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 593-0953

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NPI Details

SUPERIOR PROSTHETICS & ORTHOTICS LLC is a prosthetic orthotic supplier in San Antonio, 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. SUPERIOR PROSTHETICS & ORTHOTICS LLC NPI is 1235195330. The provider is registered as an organization entity type.
The provider Is Doing Business As Bacilio V. Moreno.

The provider's business location address is:

7400 LOUIS PASTEUR
STE 202
SAN ANTONIO, TX
ZIP 78229-542
Phone: (210) 593-0953
Fax: (210) 593-0954

The provider's authorized official is Bacilio V. Moreno .
The authorized official title is Licensed Prosthetist and has the following contact phone number (210) 593-0953.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 12/9/2010.

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 Supplier428TEXASYes

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
10110058-01MEDICAIDTEXAS
21262500001MEDICARE 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: 11/21/2025

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