Organization
SAN ANTONIO PROSTHETICS, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO LECHUGA GONZALEZ CPO BOC LPO (ORTHOTIST PROSTHETIST OWNER PRES)
(210) 616-0761
Entity
Organization
Contact information
Practice address
2147 EL INDIO HWY, EAGLE PASS, TX 78852-5455
(830) 757-5183
(830) 773-3298
Mailing address
11933 NETWORK BLVD, SAN ANTONIO, TX 78249-3399
(210) 616-0761
(210) 616-0157
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LOP 101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212771401
—
TX
Enumeration date
08/15/2006
Last updated
10/13/2010
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