NPI Provider: 1225033145
Contact Name: Harig Randolph John
Position: President/Owner
Phone: (210) 366-2990
The Orthopedic Store Information:
The Orthopedic Store organization have npi 1225033145, taxonomy code is 261QP2000X with license number is 31113 in . This Business address located in 1211 Arion Pkwy, San Antonio, TX 78216 Texas.
Practice Location
Address: 1211 Arion Pkwy, San Antonio, TX 78216
Phone: (210) 366-2990
Business Location
Address: 1211 Arion Pkwy, San Antonio, TX 78216
Phone: (210) 366-2990
Fax: (210) 491-8097
Taxonomy
Taxonomy Code: 261QP2000X
License Number: 31113
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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