Provider Demographics
NPI:1508105081
Name:A SPECIALIZED APPROACH TO PROSTHETICS INC
Entity Type:Organization
Organization Name:A SPECIALIZED APPROACH TO PROSTHETICS INC
Other - Org Name:ASAPROSTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PROSTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SARAVO
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:832-813-5278
Mailing Address - Street 1:500 SPRING HILL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-6023
Mailing Address - Country:US
Mailing Address - Phone:832-813-5278
Mailing Address - Fax:832-813-8702
Practice Address - Street 1:500 SPRING HILL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-6023
Practice Address - Country:US
Practice Address - Phone:832-813-5278
Practice Address - Fax:832-813-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1544335E00000X
TX101430335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6763500001Medicare NSC