Organization
PARK PROSTHETICS AND ORTHOTICS, INC.
Active
Organization
PARK PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID PARK C.P, L.P. (PRESIDENT)
(361) 888-5347
Entity
Organization
Contact information
Practice address
2222 MORGAN AVE, SUITE 110, CORPUS CHRISTI, TX 78405-1948
(361) 888-5347
(361) 888-5345
Mailing address
2222 MORGAN AVE, SUITE 110, CORPUS CHRISTI, TX 78405-1948
(361) 888-5347
(361) 888-5345
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039519
MEDICAL DEVICE MANUFACTUR
TX
01
—
101103
TEXAS BOARD OF O&P LIC.
TX
Enumeration date
05/10/2006
Last updated
08/22/2020
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