institution
Prosthetic-orthotic Associates Of East Texas, Inc.
Prosthetic/Orthotic Supplier in Tyler, Texas
NPI 1780624148

Prosthetic-orthotic Associates Of East Texas, Inc. is a Prosthetic/Orthotic Supplier based in Tyler, TX. Prosthetic-orthotic Associates Of East Texas, Inc. practices in Tyler, TX. The NPI Number for Prosthetic-orthotic Associates Of East Texas, Inc. is 1780624148 and holds a License No. 000086 (Texas).

The current practice location address for Prosthetic-orthotic Associates Of East Texas, Inc. is 1028 E Idel St, Tyler, TX and can be reached out via phone at 903-592-6574 and via fax at 903-595-3862.

Location: 1028 E Idel St, Tyler, TX, 75701-2024
institution
Provider Profile Details
NPI Number
1780624148
Provider Name
Prosthetic-orthotic Associates Of East Texas, Inc.
Credential
Provider Entity Type
Organization
Address
1028 E Idel St, Tyler, TX, 75701-2024
Phone Number
903-592-6574
Fax Number
903-595-3862
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
079440601 01 TX CSHCN-ORTHOTICS
079439801 01 TX CSHCN-PROTHETICS
515809 01 BCBS-TEXAS
087369701 05 TX
institution
Provider Business Practice Location Address Details
Address
1028 E Idel St
City
State
Zip
75701-2024
Phone Number
903-592-6574
Fax Number
903-595-3862
person
Provider Business Mailing Address Details
Address
1028 E Idel St
City
State
Zip
75701-2024
Phone Number
903-592-6574
Fax Number
903-595-3862
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
000086 (Texas)
Definition
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.
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