# PODA ORTHO AND REHAB AIDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801940226
- **Authorized official:** MR. JIM A WAGNER (VICE PRESIDENT)
- **Authorized official phone:** (361) 877-1036

## Contact information

- **Practice address:** 5109 BROMLEY DR, CORPUS CHRISTI, TX 78413
- **Practice address phone:** (361) 442-8004
- **Practice address fax:** (361) 994-1755
- **Mailing address:** PO BOX 2444, CORPUS CHRISTI, TX 78403-2444
- **Mailing address phone:** (361) 888-8221
- **Mailing address fax:** (361) 994-1755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020