Provider Demographics
NPI:1487486528
Name:PRIME O&P REHABILITAION. PLLC
Entity type:Organization
Organization Name:PRIME O&P REHABILITAION. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHETIST / ORTHOTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:IV
Authorized Official - Credentials:CPO
Authorized Official - Phone:469-919-2061
Mailing Address - Street 1:3015 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-1733
Mailing Address - Country:US
Mailing Address - Phone:214-491-9533
Mailing Address - Fax:
Practice Address - Street 1:3015 MASON AVE
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-1733
Practice Address - Country:US
Practice Address - Phone:214-491-9533
Practice Address - Fax:972-703-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty