Organization
SOUTH TEXAS PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK B ROSENBERGER CP (PRESIDENT)
(210) 377-1234
Entity
Organization
Contact information
Practice address
302 E NAKOMA ST, SAN ANTONIO, TX 78216-2732
(210) 377-1234
(210) 308-0210
Mailing address
302 E NAKOMA ST, SAN ANTONIO, TX 78216-2732
(210) 377-1234
(210) 308-0210
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
000098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V671P3887
VETERANS ADMINISTRATING
—
Enumeration date
07/11/2005
Last updated
02/05/2008
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