South Texas Pedorthics,LLC

Primary specialty

PedorthistTaxonomy code 224L00000X

Legal business name

SOUTH TEXAS PEDORTHICS,LLC

Practice address

601 E Main St
Suite 140
Alice, TX 78332-4972

Phone

(361) 664-5764

Fax

(361) 664-5767

NPI assigned

Aug 10, 2015

Last updated

Oct 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Oskar Lukas Olivarez, CERTIFIED PEDORTHIST

Title

President

Phone

(361) 664-5764

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1952787103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "address_2": "SUITE 140",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324972",
            "telephone_number": "361-664-5764",
            "fax_number": "361-664-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "address_2": "SUITE 140",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324972",
            "telephone_number": "361-664-5764",
            "fax_number": "361-664-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS PEDORTHICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "OLIVAREZ",
        "authorized_official_first_name": "OSKAR",
        "authorized_official_middle_name": "LUKAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-664-5764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Ashley Soto, CPHT
• South Padre Island Pediatric Center
• South Texas Cost Containment of Alice, P.a.
• South Texas Cost Containment of Alice, P.a.
• South Texas Hospice LLC
• South Texas Psychological Consultants
• Cynthia Fuller Spence, OTR
• St. Peters Home Health, Inc
• Whitney D Stacy, FNP-BC
• Dovie Stewart, FNP-C

• Pedorthist in Alice, TX
• Providers in Alice, TX by specialty
• Pedorthist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.