Organization
TOTAL ORTHOTIC & PROSTHETIC SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELINE (PROVIDER CONTRACT ANALYST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
900 E YANDELL DR, EL PASO, TX 79902-5428
(915) 541-8677
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
(714) 961-2102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625311-01
—
TX
Enumeration date
06/21/2006
Last updated
08/04/2023
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