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Organization

PLATINUM INNOVATIONS, LTD.

Active
Parent organization
PLATINUM INNOVATIONS, LTD.
Other names
Sole Support Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
PLATINUM INNOVATIONS, LTD.
Authorized official
MR. MARC WEISS (CERTIFIED PEDORTHIST)
(210) 615-0004
Entity
Organization

Contact information

Practice address
2039 TRAWOOD DR, STE B, EL PASO, TX 79935-3501
(915) 546-5171
(915) 546-9774
Mailing address
2039 TRAWOOD DR, STE B, EL PASO, TX 79935-3501
(915) 546-5171
(915) 546-9774

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598054-01
TX
Enumeration date
11/04/2010
Last updated
11/05/2012
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