Organization
VIRGIL W FAULKNER
Active
Other names
ACME ORTHOPEDIC LABS
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA CANTU (BILLING MANAGER)
(210) 733-1802
Entity
Organization
Contact information
Practice address
2411 NE LOOP 410, 112, SAN ANTONIO, TX 78217-6644
(210) 655-5227
(210) 646-0595
Mailing address
2411 NE LOOP 410, 112, SAN ANTONIO, TX 78217-6644
(210) 655-5227
(210) 646-0595
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
3160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167924302
—
TX
Enumeration date
11/14/2007
Last updated
06/11/2008
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