Prosthetic One

LBN: Prosthetic One
Prosthetic One is an health care organization with primary practice located at 3050 S Center St Ste 120 , Arlington TX 76014-2154. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Prosthetic One can be contacted via phone (682) 323-5921, or through Baker, Marcus T via phone (901) 795-1776.

Contact Information

Primary practice address
3050 S Center St Ste 120 Arlington TX 76014-2154
Fax: (682) 323-5974
Website:
Authorized official contact:
Name: Baker, Marcus T CPO

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 101575 Texas
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1255841482
LBN Legal business name Prosthetic One
DBA Doing business as
Authorized official Baker, Marcus T CPO
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2017
Last updated Jan 12th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255841482 NPPES
Texas MEDICAID 373710802
Texas MEDICAID 373710801

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