Organization
THE ORTHOPEDIC STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RANDOLPH HARIG (PRESIDENT/OWNER)
(210) 366-2990
Entity
Organization
Contact information
Practice address
8311 BURNET RD, AUSTIN, TX 78757-7714
(512) 302-9370
(512) 302-9374
Mailing address
PO BOX 792590, SAN ANTONIO, TX 78279-2590
(512) 302-9370
(512) 302-9370
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
TX
261QR0400X
Rehabilitation Clinic/Center
Primary
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
0046447
TX
335E00000X
Prosthetic/Orthotic Supplier
101021
TX
Other
Enumeration date
07/19/2005
Last updated
09/11/2025
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