Organization
ORTHORX, INC.
Active
Other names
Louisiana Brace Systems
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HOBERT (CEO/PRESIDENT)
(760) 795-5440
Entity
Organization
Contact information
Practice address
7925 YOUREE DR, SUITE 230, SHREVEPORT, LA 71105
(318) 798-5583
(318) 798-5585
Mailing address
2382 FARADAY AVENUE, SUITE 300, CARLSBAD, CA 92008-7220
(760) 795-5440
(214) 501-0299
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
—
1316296
—
LA
Enumeration date
11/10/2005
Last updated
09/19/2023
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