Freestyle

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

55172 Issued in TX

Legal business name

FREESTYLE

Practice address

1907 Macarthur Dr
West Orange, TX 77630-4805

Phone

(409) 883-3733

Fax

(409) 883-3733

NPI assigned

Aug 5, 2015

Last updated

Aug 5, 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. Edwin K Free

Title

Owner

Phone

(409) 883-3733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1972989507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 MACARTHUR DR",
            "city": "WEST ORANGE",
            "state": "TX",
            "postal_code": "776304805",
            "telephone_number": "409-883-3733",
            "fax_number": "409-883-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 MACARTHUR DR",
            "city": "WEST ORANGE",
            "state": "TX",
            "postal_code": "776304805",
            "telephone_number": "409-883-3733",
            "fax_number": "409-883-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREESTYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-883-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "55172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in West Orange, TX
• Providers in West Orange, 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 Aug 5, 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.