Organization
J & C ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL EVANS LCO (ORTHOTIST)
(409) 833-8600
Entity
Organization
Contact information
Practice address
3195 CALDER AVE STE 200, BEAUMONT, TX 77702-1426
(409) 833-8600
Mailing address
3195 CALDER AVE STE 200, BEAUMONT, TX 77702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316138241
—
TX
05
—
164392601
—
TX
Enumeration date
10/19/2016
Last updated
10/19/2016
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