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NPI Code Detail

MEDICARE: CENTER FOR PROSTHETICS & ORTHOTICS PLLC

MEDICARE: CENTER FOR PROSTHETICS & ORTHOTICS PLLC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1101721OTHERTXTEXAS ORTHOTIC/PROSTHETIC LICENSE

General Provider Information

NPI Number : 1710635305
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR PROSTHETICS & ORTHOTICS PLLC
Provider Business Mailing Address
First Line : 10609 W IH 10
Second Line : SUITE 103
City : SAN ANTONIO
State : TX
Zip : 78230
Country : US
Telephone Number : 830-315-3276
Fax Number : 210-593-0358
Provider Business Practice Location Address
First Line : 420 WATER STREET
Second Line : SUITE 108
City : KERRVILLE
State : TX
Zip : 78028-5200
Country : US
Telephone Number : 830-315-3276
Fax Number : 210-593-0358
Authorized Official
Title or Position : PRESIDENT
Name : MR. THOMAS DARM
Credential : LPO/CPO
Telephone Number : 210-593-0317
Provider Enumeration Date : 03/14/2022
Last Update Date : 02/19/2026

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Directions to “CENTER FOR PROSTHETICS & ORTHOTICS PLLC ” Practice Location

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