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VIRGIL W FAULKNER NPI 1912188392


NPI Information

NPI: 1912188392
Provider Name: VIRGIL W FAULKNER

Doing Business As: ACME ORTHOPEDIC LABS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2411 NE LOOP 410
112
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 655-5227
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VIRGIL W FAULKNER 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. VIRGIL W FAULKNER NPI is 1912188392. The provider is registered as an organization entity type.
The provider Is Doing Business As Acme Orthopedic Labs.

The provider's business location address is:

2411 NE LOOP 410
112
SAN ANTONIO, TX
ZIP 78217-644
Phone: (210) 655-5227
Fax: (210) 646-0595

The provider's authorized official is Leticia Cantu .
The authorized official title is Billing Manager and has the following contact phone number (210) 733-1802.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 6/11/2008.


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 Supplier3160TEXASYes

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
15145480001MEDICARE NSCTEXAS
2167924302MEDICAIDTEXAS

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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