Organization
CERTIFIED PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY D. SMITH CPO, LPO (PRESIDENT)
(361) 575-2877
Entity
Organization
Contact information
Practice address
304 GEMINI CT, VICTORIA, TX 77901-2679
(361) 575-2877
(361) 575-5111
Mailing address
PO BOX 4646, VICTORIA, TX 77903-4646
(361) 575-2877
(361) 575-5111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519219
BCBSTX
TX
01
—
5374410
AETNA
TX
Enumeration date
04/12/2006
Last updated
08/22/2020
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