South Texas Pedorthics,llc

NPI #1952787103 in Alice, Texas

Provider Information

NPI Number: 1952787103
Entity Type: Organization
Organization Name: South Texas Pedorthics,llc
Primary Specialty: Pedorthist
Enumeration Date: Aug 10, 2015
Last Updated: Oct 23, 2015

Practice Location

Address: 601 E MAIN ST
Address 2: SUITE 140
City: Alice
State: Texas
ZIP Code: 78332-4972
Phone: (361) 664-5764

Authorized Official

Name: MR. OSKAR LUKAS OLIVAREZ, CERTIFIED PEDORTHIST
Title: PRESIDENT
Phone: (361) 664-5764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pedorthist	224L00000X	Primary

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