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Organization

TWIN CITY ORTHOTICS & PROSTHETICS, LLC

Active
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Organization

TWIN CITY ORTHOTICS & PROSTHETICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MITCHEL E PRESLEY JR. LPO (LICENSED ORTHOTIST/PROSTHETIST)
(936) 622-3832
Entity
Organization

Contact information

Practice address
4800 NE STALLINGS DR, STE. 1600, NACOGDOCHES, TX 75965-1249
(936) 622-3832
(936) 622-3851
Mailing address
4800 NE STALLINGS DR, STE. 1600, NACOGDOCHES, TX 75965-1249
(936) 622-3832
(936) 622-3851

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
55
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
532691
BLUE CROSS & BLUE SHIELD OF TEXAS
TX
Enumeration date
07/20/2007
Last updated
04/22/2008
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