Provider Demographics
NPI:1043605421
Name:NEURO-ORTHO SOLUTIONS, INC.
Entity Type:Organization
Organization Name:NEURO-ORTHO SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED ORTHOTIC FITTER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOKE
Authorized Official - Suffix:
Authorized Official - Credentials:BOCF
Authorized Official - Phone:504-457-1134
Mailing Address - Street 1:1430 OLD SPANISH TRL STE 20
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5039
Mailing Address - Country:US
Mailing Address - Phone:504-407-2941
Mailing Address - Fax:504-407-2942
Practice Address - Street 1:10001 LAKE FOREST BLVD
Practice Address - Street 2:SUITE 704
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-6200
Practice Address - Country:US
Practice Address - Phone:504-407-2941
Practice Address - Fax:504-407-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAC16741335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier