Most Relevant Information
Provider Data
NPI Number: | 1003017781 |
Provider Name: | THOMAS ALLEN SHILLER CO.,LO |
Entity Type: | Individual |
Taxonomy Code: | 222Z00000X |
Specialty: | Orthotist |
License Number: | 468 |
Most Important Dates
Enumeration Date: | 05/30/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
900 E US HIGHWAY 77
SAN BENITO
TX
785865424
Practice Location Phone/Fax
Phone: | 9563991129 |
Fax: | 3618887424 |
Provider Mailing Location
PO BOX 331580
CORPUS CHRISTI
TX
784631580
Provider Mailing Phone/Fax
Phone: | 3618887752 |
Fax: | 3618887424 |