Organization
RIVER CITY ORTHOTICS AND PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BERARDELLI (OWNER)
(210) 485-1844
Entity
Organization
Contact information
Practice address
16607 BLANCO RD, SUITE 303, SAN ANTONIO, TX 78232-1940
(210) 485-1844
(210) 439-9504
Mailing address
16607 BLANCO ROAD, SUITE 303, SAN ANTONIO, TX 78232-1940
(210) 485-1844
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
209-10982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659601946
209-10982
TX
Enumeration date
01/14/2010
Last updated
01/14/2010
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