Organization
ORTHO PRO DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY VIDAL (OWNER)
(361) 494-9155
Entity
Organization
Contact information
Practice address
1105 E LOTT AVE, KINGSVILLE, TX 78363-5834
(361) 494-9155
(361) 602-0707
Mailing address
1105 E LOTT AVE, KINGSVILLE, TX 78363-5834
(361) 494-9155
(361) 602-0707
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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