Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prosthetic-Orthotic Associates of East Texas, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1780624148

Prosthetic-Orthotic Associates of East Texas, Inc is a Prosthetic/Orthotic Supplier in Tyler, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1028 E Idel St
Tyler, TX 75701-2024
Phone: (903) 592-6574
Fax: (903) 595-3862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1122 E Front St, Tyler, TX 75702-8414 — (903) 592-6574

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 000086 (TX)

Record details

NPI number1780624148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce McClellan — President/Owner · (903) 592-6574
NPI enumeratedJune 7, 2006
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021
Mailing address1028 E Idel St, Tyler, TX 75701-2024

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