Provider Demographics
NPI:1881052538
Name:ORTHO SCIENCE SOLUTIONS, LLC
Entity type:Organization
Organization Name:ORTHO SCIENCE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LOT, MHA
Authorized Official - Phone:210-724-0505
Mailing Address - Street 1:515 PENSTEMON TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1630
Mailing Address - Country:US
Mailing Address - Phone:210-724-0505
Mailing Address - Fax:
Practice Address - Street 1:24123 BOERNE STAGE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-9403
Practice Address - Country:US
Practice Address - Phone:210-724-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier