Provider Demographics
NPI:1649204793
Name:COMPASS ORTHOPEDIC TECHNOLOGIES AND PRODUCTS INC.
Entity Type:Organization
Organization Name:COMPASS ORTHOPEDIC TECHNOLOGIES AND PRODUCTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DINKER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-4348
Mailing Address - Street 1:PO BOX 4346
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4346
Mailing Address - Country:US
Mailing Address - Phone:713-773-4348
Mailing Address - Fax:713-773-1948
Practice Address - Street 1:6776 SOUTHWEST FWY STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2109
Practice Address - Country:US
Practice Address - Phone:713-995-7010
Practice Address - Fax:713-995-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0111072-01Medicaid
TX530781OtherBLUE CROSS BLUE SHIELD