Organization
MATISONS ORTHOTICS-PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MATISONS CPO, LPO (PRESIDENT)
(361) 854-5200
Entity
Organization
Contact information
Practice address
3560 S ALAMEDA ST, SUITE 2, CORPUS CHRISTI, TX 78411-1700
(361) 854-5200
(361) 854-7626
Mailing address
3560 S ALAMEDA ST, SUITE 2, CORPUS CHRISTI, TX 78411-1700
(361) 854-5200
(361) 854-7626
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534067-01
—
TX
Enumeration date
07/02/2006
Last updated
03/21/2016
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