Provider Demographics
NPI:1285613349
Name:SALDINO PROSTHETICS & ORTHOTICS PLLC
Entity type:Organization
Organization Name:SALDINO PROSTHETICS & ORTHOTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SALDINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, CPO
Authorized Official - Phone:903-838-3668
Mailing Address - Street 1:4104 RICHMOND MDWS
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0067
Mailing Address - Country:US
Mailing Address - Phone:903-838-3668
Mailing Address - Fax:903-838-8094
Practice Address - Street 1:4104 RICHMOND MDWS
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0067
Practice Address - Country:US
Practice Address - Phone:903-838-3668
Practice Address - Fax:903-838-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1134335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4832390001Medicare NSC
TX00501VMedicare PIN