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Organization

ALLEN ORTHOTICS & PROSTHETICS, INC.

Active
Other names
Allen Brace Company, West Texas Prosthetic Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FERNANDO ESTRADA ORDAZ CPO/LPO (PRESIDENT)
(432) 683-3788
Entity
Organization

Contact information

Practice address
3001 W ILLINOIS AVE STE 7A, MIDLAND, TX 79701-3189
(432) 683-3788
(432) 683-6470
Mailing address
3001 W ILLINOIS AVE STE 7A, MIDLAND, TX 79701-3189
(432) 683-3788
(432) 683-6470

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
000006
TX
335E00000X
Prosthetic/Orthotic Supplier
101420
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086138701
TX
05
086138704
TX
05
086138705
TX
01
500210
BCBSTX
TX
Enumeration date
01/01/2006
Last updated
02/24/2025
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