=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497747158
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STROBEL & ASSOCIATES PROSTHETICS AND ORTHOTICS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2005
-----------------------------------------------------
Last Update Date | 01/14/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 519 BRYAN ST
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-2705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-243-4198
-----------------------------------------------------
Fax | 940-591-9017
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 519 BRYAN ST
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-2705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-243-4198
-----------------------------------------------------
Fax | 940-591-9017
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT, OWNER
-----------------------------------------------------
Name | NATALIE D STEWART
-----------------------------------------------------
Credential | CPO, LPO
-----------------------------------------------------
Telephone | 940-243-4198
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number | 000021,423,1175
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------