Organization
SAN ANTONIO PROSTHETICS CORPORATION
Active
Organization
SAN ANTONIO PROSTHETICS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK DANIEL MARTINEZ LO/CO (PRESIDENT/OWNER)
(210) 616-0761
Entity
Organization
Contact information
Practice address
7400 LOUIS PASTEUR DR STE 110, SAN ANTONIO, TX 78229-4510
(210) 616-0761
(210) 616-0157
Mailing address
7400 LOUIS PASTEUR DR STE 110, SAN ANTONIO, TX 78229-4510
(210) 616-0761
(210) 616-0157
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
LPO 101
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO 101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087428101
—
TX
05
—
087428102
—
TX
05
—
087428103
—
TX
Enumeration date
07/08/2006
Last updated
09/14/2020
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