Provider Demographics
NPI: | 1942687371 |
---|---|
Name: | ORTHO-TEK INC |
Entity Type: | Organization |
Organization Name: | ORTHO-TEK INC |
Other - Org Name: | CARE OPTIONS FOR KIDS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | C.O.O. |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MATT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WILCOX |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 281-363-1005 |
Mailing Address - Street 1: | 504 SPRING HILL DR STE 450 |
Mailing Address - Street 2: | |
Mailing Address - City: | SPRING |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77386-6027 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 877-623-5515 |
Mailing Address - Fax: | 800-879-9016 |
Practice Address - Street 1: | 318 BRIAR ROCK RD |
Practice Address - Street 2: | |
Practice Address - City: | THE WOODLANDS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77380-3528 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-363-1005 |
Practice Address - Fax: | 800-879-9016 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-05-06 |
Last Update Date: | 2023-05-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 0040844 | 332B00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |