DAVID POLANCO

AUSTIN, TX
NPI1265782650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  1481)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  1481)
Enumeration Date2012-09-13
Last Update Date2012-09-13
Business Address
-- DAVID POLANCO CPO
8000 ANDERSON SQ
AUSTIN, TX 78757-8401
Phone number: 512-377-2323
Mailing Address
-- DAVID POLANCO CPO
8000 ANDERSON SQ
AUSTIN, TX 78757-8401
Phone number: 512-377-2323
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