Organization
BLUE SKY ORTHOTIC AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON ERWIN FOREMAN (PRESIDENT)
(970) 231-1313
Entity
Organization
Contact information
Practice address
2611 E 29TH ST, BRYAN, TX 77802-2502
(970) 231-1313
Mailing address
4704 MONTE CARMELO PL, AUSTIN, TX 78738-6029
(970) 231-1313
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101528
TX
Other
Enumeration date
08/24/2015
Last updated
03/07/2016
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