Alltech O & P Services, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

548 Issued in TX

Legal business name

ALLTECH O & P SERVICES, LLC

Practice address

306 S Morgan St
Granbury, TX 76048-1956

Phone

(817) 573-9333

Fax

(817) 573-9353

NPI assigned

Apr 19, 2007

Organization subpart

No

Name

Mrs. Cheryl D Deleon

Title

Office Manager

Phone

(817) 484-9699

Locations

• ALLTECH O & P SERVICES Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2010.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1386861797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760286307",
            "telephone_number": "817-484-9699",
            "fax_number": "817-484-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MORGAN ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481956",
            "telephone_number": "817-573-9333",
            "fax_number": "817-573-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLTECH O & P SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-484-9699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "548",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "579",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181775101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "532205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLTECH O & P SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mylissa Blayne Alexander, APRN, FNP-C
• Ojochide Jessica Alfa, NP
• Ramey Alfarra, DO
• Anum Feroz Ali, DMD
• Tana Marie Allen, NP-C
• Nikhila Alsakani, DDS
• Natalie Marie Alvarez, OTR
• Amy J Aston LCSW PC
• David Dwain Anderson, DC
• Luke Anderson, M.D.

• All providers in Granbury, TX
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.