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NPI Code Detail

MEDICARE: PLATINUM INNOVATIONS, LTD.

MEDICARE: PLATINUM INNOVATIONS, LTD.
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
1335E00000XProsthetic/Orthotic Supplier
2332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447551601
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLATINUM INNOVATIONS, LTD.
Provider Business Mailing Address
First Line : 2039 TRAWOOD DR
Second Line : STE B
City : EL PASO
State : TX
Zip : 79935-3501
Country : US
Telephone Number : 915-546-5171
Fax Number : 915-546-9774
Provider Business Practice Location Address
First Line : 2039 TRAWOOD DR
Second Line : STE B
City : EL PASO
State : TX
Zip : 79935-3501
Country : US
Telephone Number : 915-546-5171
Fax Number : 915-546-9774
Authorized Official
Title or Position : CERTIFIED PEDORTHIST
Name : MR. MARC WEISS
Credential :
Telephone Number : 210-615-0004
Provider Enumeration Date : 11/04/2010
Last Update Date : 11/05/2012

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Directions to “PLATINUM INNOVATIONS, LTD. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.