Individual
DAVID POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
8000 ANDERSON SQ, AUSTIN, TX 78757-8401
(512) 377-2323
(512) 374-9993
Mailing address
8000 ANDERSON SQ, AUSTIN, TX 78757-8401
(512) 377-2323
(512) 374-9993
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1481
TX
224P00000X
Prosthetist
Primary
1481
TX
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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