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SAN ANTONIO ORTHOTICS CORPORATION NPI 1417951237


NPI Information

NPI: 1417951237
Provider Name: SAN ANTONIO ORTHOTICS CORPORATION
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
7220 LOUIS PASTEUR
STE 144
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 614-8777
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SAN ANTONIO ORTHOTICS CORPORATION 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. SAN ANTONIO ORTHOTICS CORPORATION NPI is 1417951237. The provider is registered as an organization entity type.

The provider's business location address is:

7220 LOUIS PASTEUR
STE 144
SAN ANTONIO, TX
ZIP 78229-535
Phone: (210) 614-8777
Fax: (210) 614-8795

The provider's authorized official is Frank Daniel Martinez .
The authorized official title is Orthotist/owner and has the following contact phone number (210) 614-8777.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 6/23/2011.


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 Supplier000153TEXASYes

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
10107799-01MEDICAIDTEXAS
21230140001MEDICARE ID-TYPE UNSPECIFIEDTEXAS7220 LOUIS PASTEUR #150

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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