MEDICARE: PEOPLE 1ST ORTHOTICS & PROSTHETICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1336515790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE 1ST ORTHOTICS & PROSTHETICS, LLC

Provider Business Mailing Address
First Line	:	6111 BEVERLYHILL ST
Second Line	:	#13
City	:	HOUSTON
State	:	TX
Zip	:	77057-7636
Country	:	US
Telephone Number	:	832-689-4093
Fax Number	:	888-366-9116

Provider Business Practice Location Address
First Line	:	6111 BEVERLYHILL ST
Second Line	:	#13
City	:	HOUSTON
State	:	TX
Zip	:	77057-7636
Country	:	US
Telephone Number	:	832-689-4093
Fax Number	:	888-366-9116

Authorized Official
Title or Position	:	CEO
Name	:	MR. IRIC C SALDIVAR
Credential	:	MSRC
Telephone Number	:	832-689-4093

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	08/19/2015

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