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Organization

BASIN ORTHOTIC & PROSTHETIC CENTER PLLC

Active
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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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