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TEXOMA ORTHOTICS AND PROSTHETICS PLLC NPI 1831442318


NPI Information

NPI: 1831442318
Provider Name: TEXOMA ORTHOTICS AND PROSTHETICS, PLLC

Doing Business As: TEXOMA O & P

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1915 W GORE BLVD
STE 1
LAWTON, OK
ZIP 73501
Phone: (580) 699-8690
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TEXOMA ORTHOTICS AND PROSTHETICS, PLLC is a prosthetic orthotic supplier in Lawton, OK. 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. TEXOMA ORTHOTICS AND PROSTHETICS, PLLC NPI is 1831442318. The provider is registered as an organization entity type.
The provider Is Doing Business As Texoma O & P.

The provider's business location address is:

1915 W GORE BLVD
STE 1
LAWTON, OK
ZIP 73501-661
Phone: (580) 699-8690
Fax: (580) 699-8692

The provider's authorized official is Connie M Chelenza .
The authorized official title is Owner and has the following contact phone number (580) 699-8690.

The enumeration date for this NPI number is 10/20/2012 and was last updated on 3/28/2013.


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 SupplierLPO86, LO52OKLAHOMAYes

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
1200472830 AMEDICAIDOKLAHOMA
2=========OTHERHEALTHCHOICE
3=========OTHEROKLAHOMA DEPARTMENT OF REHABILITATION
46725040001MEDICARE PINOKLAHOMA
56725040001MEDICARE NSCOKLAHOMA

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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