Provider Demographics
NPI:1336515790
Name:PEOPLE 1ST ORTHOTICS & PROSTHETICS, LLC
Entity Type:Organization
Organization Name:PEOPLE 1ST ORTHOTICS & PROSTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IRIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:SALDIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:MSRC
Authorized Official - Phone:832-689-4093
Mailing Address - Street 1:6111 BEVERLYHILL ST
Mailing Address - Street 2:#13
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7636
Mailing Address - Country:US
Mailing Address - Phone:832-689-4093
Mailing Address - Fax:888-366-9116
Practice Address - Street 1:6111 BEVERLYHILL ST
Practice Address - Street 2:#13
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7636
Practice Address - Country:US
Practice Address - Phone:832-689-4093
Practice Address - Fax:888-366-9116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier