Organization
ROUND ROCK ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK ROY OLSON LPO (PRESIDENT)
(512) 341-3700
Entity
Organization
Contact information
Practice address
2911 MEDICAL ARTS ST, BUILDING 7, AUSTIN, TX 78705-3376
(512) 341-3700
Mailing address
555 ROUND ROCK WEST DR BLDG D, SUITE 100, ROUND ROCK, TX 78681-5052
(512) 341-3700
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101272
TEXAS BOARD OF ORTHOTICS AND PROSTHETICS LICENSE NUMBER
TX
01
—
1427059203
NPI--ROUND ROCK LOCATION
TX
Enumeration date
08/21/2006
Last updated
12/23/2008
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