Provider Demographics
NPI:1316068620
Name:MYERS AND ASSOCIATES ORTHOTICS AND PROSTHETICS INC.
Entity type:Organization
Organization Name:MYERS AND ASSOCIATES ORTHOTICS AND PROSTHETICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPO
Authorized Official - Phone:214-494-0855
Mailing Address - Street 1:1737 REDCEDAR DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-8180
Mailing Address - Country:US
Mailing Address - Phone:214-494-0855
Mailing Address - Fax:469-466-6090
Practice Address - Street 1:445 WALNUT ST STE 109
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5584
Practice Address - Country:US
Practice Address - Phone:214-494-0855
Practice Address - Fax:469-466-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0870677-01Medicaid
TX0606740001OtherPTAN
JG3CCK4FZ5G6OtherUEI