Organization Name: | DIBELLO'S DYNAMIC ORTHOTICS AND PROSTHETICS INC |
NPI Number: | 1497786198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT) |
Mailing Address: | 7320 Highway 90a Suite 150 Sugar Land |
State: | TX US |
Postal Code: | 774783390 |
Phone Number: | 2819805300 |
Fax Number: | 2819803593 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 101160 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |