Provider Demographics
NPI:1366407132
Name:ORTHO PLUS, INC
Entity type:Organization
Organization Name:ORTHO PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-541-8568
Mailing Address - Street 1:7823 FORTUNE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5105
Mailing Address - Country:US
Mailing Address - Phone:210-541-8568
Mailing Address - Fax:210-541-8571
Practice Address - Street 1:7823 FORTUNE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5105
Practice Address - Country:US
Practice Address - Phone:210-541-8568
Practice Address - Fax:210-541-8571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0081933332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146559301Medicaid
TX146560101Medicaid
TX146560101Medicaid