NPI: 1659997393 · LEON VALLEY, TX 78238 · Community/Retail Pharmacy · NPI assigned 06/18/2020
| Authorized Official | FERMIN, ANTHONY (OWNER) |
| NPI Enumeration Date | 06/18/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 52 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1686 | Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment | 52 | 52 | $3K |