SMITH'S ORTHOPEDIC SHOES, INC.
Medical Equipment Supplier Yellow Pages
Odessa, Texas
Provider NPI: 1871662569
Organization Information:Organization Name: SMITH'S ORTHOPEDIC SHOES, INC.
Practice Location:
5101 TWIN TOWERS BLVD ODESSA, TX 79762 US
Tel: 432-363-4271 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5101 TWIN TOWERS BLVD ODESSA, TX 79762 US
Tel: 432-363-4271 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | TX | ========= |
Y | 332BC3200X | Suppliers Durable Medical Equipment & Medical Supplies | TX | ========= |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS | 504892 | TX | 01 |
0865990-01 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin