MR. EDGAR DE LA FUENTE LICENSED PROSTHETIST
NPI 1750323713
Prosthetic/Orthotic Supplier in Longview, TX
NPI Status: Active since June 12, 2006
Contact Information
719 N. SECOND STREET
LONGVIEW, TX
ZIP 75601
Phone: (903) 553-1040
Fax: (903) 553-9996
- Individual
- Male
- Prosthetic/Orthotic Supplier
- Accepts Insurance
About EDGAR DE LA FUENTE
This page provides the complete NPI Profile along with additional information for Edgar De La Fuente, a provider established in Longview, Texas with a medical specialization in Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1750323713 assigned on June 2006. The practitioner's primary taxonomy code is 335E00000X with license number 233 (TX). The provider is registered as an individual and his NPI record was last updated April 2026.
- NPI
- 1750323713
- Provider Name
- MR. EDGAR DE LA FUENTE LICENSED PROSTHETIST
- Other Name
- DBA VRAI PROSTHETIC CARE
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 719 N. SECOND STREET LONGVIEW, TX 75601
- Location Phone
- (903) 553-1040
- Location Fax
- (903) 553-9996
- Mailing Address
- 719 N. SECOND STREET LONGVIEW, TX 75601
- Mailing Phone
- (903) 553-1040
- Mailing Fax
- (903) 553-9996
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-12-2006
- Last Update Date
- 04-17-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 233
- License State
- TX
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750323713 | OTHER (01) | TX | NPI |
| 531976 | OTHER (01) | TX | BCBS OF TEXAS |
| 168459901 | MEDICAID (05) | TX |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750323713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750323713, enumerated as an "individual" on June 12, 2006.
The provider is located at 719 N. SECOND STREET LONGVIEW, TX 75601 and the phone number is (903) 553-1040.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare,. Please consult your insurance carrier or call the provider to verify.
