Organization
TECH RIDGE PROSTHETICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FRAELLO C.P, L.P (PRESIDENT)
(512) 993-7054
Entity
Organization
Contact information
Practice address
3503 WILD CHERRY DR STE 13, AUSTIN, TX 78738-1822
(512) 297-2724
(512) 467-4695
Mailing address
3503 WILD CHERRY DR STE 13, AUSTIN, TX 78738-1822
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1806
TX
Other
Enumeration date
10/06/2016
Last updated
06/17/2023
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