Healthcare Provider Details

I. General information

NPI: 1033279310
Provider Name (Legal Business Name): ORTHOPEDIC SPECIALISTS, D.M.E.,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 MORGAN AVE STE 106
CORPUS CHRISTI TX
78405-1900
US

IV. Provider business mailing address

2222 MORGAN AVE STE 106
CORPUS CHRISTI TX
78405-1900
US

V. Phone/Fax

Practice location:
  • Phone: 361-881-9696
  • Fax: 361-888-8575
Mailing address:
  • Phone: 361-881-9696
  • Fax: 361-888-8575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. JEANETTE CROUT GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 361-881-9696