Provider Demographics
NPI:1306068911
Name:TOWNSON'S PROSTHETICS
Entity type:Organization
Organization Name:TOWNSON'S PROSTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:RAYBERN
Authorized Official - Last Name:TOWNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-888-1334
Mailing Address - Street 1:3855 N. ORACLE RD.
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705
Mailing Address - Country:US
Mailing Address - Phone:520-888-1334
Mailing Address - Fax:520-887-5901
Practice Address - Street 1:3855 N. ORACLE RD.
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705
Practice Address - Country:US
Practice Address - Phone:520-888-1334
Practice Address - Fax:520-887-5901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0193252335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
5946470001Medicare NSC