Organization
SAN ANTONIO ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DOMINGO MARTINEZ LO,BOCO, C.O. (ORTHOTIST/OWNER)
(210) 496-9940
Entity
Organization
Contact information
Practice address
18585 SIGMA RD, STE 104, SAN ANTONIO, TX 78258-4204
(210) 496-9940
(210) 403-0571
Mailing address
18585 SIGMA RD, STE 104, SAN ANTONIO, TX 78258-4204
(210) 496-9940
(210) 403-0571
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101162
TX
Other
Enumeration date
06/09/2005
Last updated
08/22/2020
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