Twin City Orthotics & Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

55 Issued in TX

Legal business name

TWIN CITY ORTHOTICS & PROSTHETICS, LLC

Practice address

4800 NE Stallings Dr
Ste. 1600
Nacogdoches, TX 75965-1249

Phone

(936) 622-3832

Fax

(936) 622-3851

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mitchel E Presley Jr., LPONPI 1952483844

Title

Licensed Orthotist/Prosthetist

Phone

(936) 622-3832

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchel Earl Presley Jr., L.P.O.

  • Orthotic Fitter
  • Nacogdoches, TX
  • NPI 1952483844
  NPD (past) Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1184824807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR",
            "address_2": "STE. 1600",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651249",
            "telephone_number": "936-622-3832",
            "fax_number": "936-622-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR",
            "address_2": "STE. 1600",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651249",
            "telephone_number": "936-622-3832",
            "fax_number": "936-622-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED ORTHOTIST/PROSTHETIST",
        "authorized_official_telephone_number": "936-622-3832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "55",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF TEXAS",
            "identifier": "532691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Simmons, DDS, P.a.
• Dorothy Elizabeth Tubbs
• Arrie Allen Tucker, LMT
• Amanda Ann Turner, LPC-A, LCDC
• Karen Lea Turner
• Leslie Ann Tyndall, L.P.C.
• Ally Kirsten Tywater
• University Drive Health Center, P.a.
• Urgent Health Solutions Nacogdoches
• Usad

• Prosthetic/Orthotic Supplier in Nacogdoches, TX
• Providers in Nacogdoches, 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 Apr 22, 2008; 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.