Prosthetic-orthotic Associates Of East Texas, Inc.
Prosthetic & Orthotic Supplier
1028 E Idel St, Tyler
Texas, 75701-2024
903-592-6574 903-595-3862
Maps & DirectionsProsthetic-orthotic Associates Of East Texas, Inc. is a Prosthetic & Orthotic Supplier in Tyler, Texas. It is situated at 1028 E Idel St, Tyler and its contact number is 903-592-6574. The authorized person of Prosthetic-orthotic Associates Of East Texas, Inc. is Bruce P. Mcclellan
who is President/owner of the store and his/her contact number is 903-592-6574. Primary license number for Prosthetic-orthotic Associates Of East Texas, Inc. is 000086 in Texas.
Prosthetic-orthotic Associates Of East Texas, Inc. is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Prosthetic-orthotic Associates Of East Texas, Inc. Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 1028 E Idel St, Tyler,
Texas, 75701-2024 |
| Phone: | 903-592-6574 |
| Fax: | 903-595-3862 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Bruce P. Mcclellan |
| Position: | President/owner |
| Contact Number: | 903-592-6574 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Prosthetic-orthotic Associates Of East Texas, Inc. center are as mentioned below.
| NPI Number: | 1780624148 |
| NPI Enumeration Date: | 07 Jun, 2006 |
| NPI Last Update On: | 16 Jul, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prosthetic-orthotic Associates Of East Texas, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | 000086 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 079440601 | Other | Texas | Cshcn-orthotics |
| 079439801 | Other | Texas | Cshcn-prothetics |
| 515809 | Other | | Bcbs-texas |
| 087369701 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Prosthetic-orthotic Associates Of East Texas, Inc.
1028 E Idel St,
Tyler, Texas |
| Zip: | 75701-2024 |
| Phone Number: | 903-592-6574 |
| Fax Number: | 903-595-3862 |
Patients can reach Prosthetic-orthotic Associates Of East Texas, Inc. at
1028 E Idel St, Tyler, Texas or can
call to book an appointment on 903-592-6574.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.