Organization
RIFFLE PROSTHETICS AND ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON RALPH RIFFLE ABC, CP, BOCP (PRESIDENT)
(318) 841-6500
Entity
Organization
Contact information
Practice address
1938 E 70TH ST, SUITE D, SHREVEPORT, LA 71105-5340
(318) 841-6500
(318) 841-6501
Mailing address
1938 E 70TH ST, SUITE D, SHREVEPORT, LA 71105-5340
(318) 841-6500
(318) 841-6501
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
30
OK
335E00000X
Prosthetic/Orthotic Supplier
318
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995235
MEDICAID - TEXAS
TX
Enumeration date
08/28/2008
Last updated
05/08/2009
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