Organization
HIGH PLAINS ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LYNN JORDAN LPO, CPO, BOC OP (OWNER/ORTHOTIST/PROSTHETIST)
(806) 353-7276
Entity
Organization
Contact information
Practice address
441 S WESTERN ST, AMARILLO, TX 79106-8555
(806) 353-7276
Mailing address
PO BOX 3702, AMARILLO, TX 79116-3702
(806) 353-7276
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
488
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
488
TX
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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