=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710635305
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTER FOR PROSTHETICS & ORTHOTICS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2022
-----------------------------------------------------
Last Update Date | 02/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 420 WATER STREET SUITE 108
-----------------------------------------------------
City | KERRVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78028-5200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-315-3276
-----------------------------------------------------
Fax | 210-593-0358
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10609 W IH 10 SUITE 103
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-315-3276
-----------------------------------------------------
Fax | 210-593-0358
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. THOMAS DARM
-----------------------------------------------------
Credential | LPO/CPO
-----------------------------------------------------
Telephone | 210-593-0317
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------