Organization
RIVER CITY ORTHOTICS AND PROSTHETICS, LLC
Active
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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