Organization
MOBILITY ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R HOOK LPO (OWNER/PRACTITIONER)
(817) 201-4788
Entity
Organization
Contact information
Practice address
5720 VALLEY ST, SUITE 1, ALVARADO, TX 76009
(817) 783-2757
(817) 783-2758
Mailing address
5720 VALLEY ST, SUITE 1, ALVARADO, TX 76009
(817) 783-2757
(817) 783-2758
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
101248
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101248
STATE OF TEXAS FACILITY ACCREDITATION
TX
05
—
192150401
—
TX
01
—
532746
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/09/2008
Last updated
06/13/2008
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