Provider Demographics
NPI:1376674200
Name:ORTHOPEDIC SOLUTIONS
Entity Type:Organization
Organization Name:ORTHOPEDIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHETIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:T
Authorized Official - Last Name:LOPOSER
Authorized Official - Suffix:
Authorized Official - Credentials:LPO
Authorized Official - Phone:325-446-8777
Mailing Address - Street 1:105 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:JUNCTION
Mailing Address - State:TX
Mailing Address - Zip Code:76849-4639
Mailing Address - Country:US
Mailing Address - Phone:325-446-8777
Mailing Address - Fax:325-446-3926
Practice Address - Street 1:105 N 7TH ST
Practice Address - Street 2:
Practice Address - City:JUNCTION
Practice Address - State:TX
Practice Address - Zip Code:76849-4639
Practice Address - Country:US
Practice Address - Phone:325-446-8777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145660001Medicaid
TX4225080001Medicare NSC