1275575912 NPI number — PROSTHETIC-ORTHOTIC ASSOCIATES OF NORTH TEXAS, INC.

Table of content: (NPI 1275575912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275575912 NPI number — PROSTHETIC-ORTHOTIC ASSOCIATES OF NORTH TEXAS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROSTHETIC-ORTHOTIC ASSOCIATES OF NORTH TEXAS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275575912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
376 W MAIN ST
Provider Second Line Business Mailing Address:
SUITE G
Provider Business Mailing Address City Name:
LEWISVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75057-3866
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-221-7607
Provider Business Mailing Address Fax Number:
972-420-0525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
376 W MAIN ST
Provider Second Line Business Practice Location Address:
SUITE G
Provider Business Practice Location Address City Name:
LEWISVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75057-3866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-221-7607
Provider Business Practice Location Address Fax Number:
972-420-0525
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCLELLAN
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
P.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
903-592-6574

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  000085 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 509124 . This is a "BCBS-TEXAS" identifier . This identifiers is of the category "OTHER".




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