Victoria Orthotic and Prosthetic Services, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101063 Issued in TX

Legal business name

VICTORIA ORTHOTIC AND PROSTHETIC SERVICES, INC

Practice address

1121 Morgan Ave
Corpus Christi, TX 78404-3242

Phone

(361) 882-4991

Fax

(361) 882-4523

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wilford Lee Young Jr.

Title

Ceo,; C.O.; L.P.O.

Phone

(361) 882-4991

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• VICTORIA BRACE CO Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1013038041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043242",
            "telephone_number": "361-882-4991",
            "fax_number": "361-882-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043242",
            "telephone_number": "361-882-4991",
            "fax_number": "361-882-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA ORTHOTIC AND PROSTHETIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILFORD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO,; C.O.; L.P.O.",
        "authorized_official_telephone_number": "361-882-4991",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086148601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086148602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086148603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "530911",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORIA BRACE CO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Veteran Home Care LLC
• Mini Vetticadan, MLS (ASCP)
• Alexandre Vial-Nadeau, D.M.D.
• John J Vicknair Jr., C.P., L..P.
• Scott Patrick Vicknair, C.P,L.P.
• Aileen Michelle Decierdo Vidal, MD
• Nikki Lynn Viersen, DC
• Julia Camille Vigesaa
• Vijay K Bindingnavele MD PA
• Villa Quilt of Corpus Northwest LP

• Prosthetic/Orthotic Supplier in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.