Organization
THE ORTHOPEDIC STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RANDOLPH HARIG (PRESIDENT/OWNER)
(210) 366-2990
Entity
Organization
Contact information
Practice address
4455 S PADRE ISLAND DR, SUITE 14, CORPUS CHRISTI, TX 78411-5101
(361) 814-9600
(361) 814-9602
Mailing address
PO BOX 792590, SAN ANTONIO, TX 78279-2590
(210) 366-2990
(210) 491-8002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0053879
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
000115
TX
Other
Enumeration date
07/19/2005
Last updated
09/11/2025
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