Provider Demographics
NPI:1497747158
Name:STROBEL & ASSOCIATES PROSTHETICS AND ORTHOTICS INC
Entity Type:Organization
Organization Name:STROBEL & ASSOCIATES PROSTHETICS AND ORTHOTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:CPO, LPO
Authorized Official - Phone:940-243-4198
Mailing Address - Street 1:519 BRYAN ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2705
Mailing Address - Country:US
Mailing Address - Phone:940-243-4198
Mailing Address - Fax:940-591-9017
Practice Address - Street 1:519 BRYAN ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2705
Practice Address - Country:US
Practice Address - Phone:940-243-4198
Practice Address - Fax:940-591-9017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000021,423,1175335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010952203Medicaid
TX530512OtherBCBS OF TEXAS
4634850001Medicare ID - Type Unspecified