Organization · NPI-2

Blue Sky Orthotic And Prosthetics

Prosthetic/Orthotic Supplier · Austin, TX

NPI number1023510369
StatusActive
Last updated in NPPESMar 2, 2018

Details

NPI
1023510369
Entity type
Organization (NPI-2)
Legal business name
Blue Sky Orthotic And Prosthetics
Organization subpart
Yes
Enumeration date
Mar 2, 2018
Last updated
Mar 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier101598TXYes

Practice location

1104 W 34th St Bldg A
Austin, TX 78705-1908

Phone 970-231-1313 · Fax 512-505-8886

Mailing address

1104 W 34th St Bldg A
Austin, TX 78705-1908

Phone 970-231-1313 · Fax 512-505-8886

Authorized official

Aaron Erwin Foreman
President
9702311313

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