Organization
BASIN ORTHOTIC & PROSTHETIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM C HOWELL LPO,CPO,BOC-OP (OWNER)
(432) 337-8880
Entity
Organization
Contact information
Practice address
623 N SAM HOUSTON AVE, ODESSA, TX 79761-4434
(432) 337-8880
(432) 337-8887
Mailing address
623 N SAM HOUSTON AVE, ODESSA, TX 79761-4434
(432) 337-8880
(432) 337-8887
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149744804
—
TX
05
—
149744806
—
TX
Enumeration date
11/14/2005
Last updated
07/11/2024
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