MEDICARE: PROSTHETIC ONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	101575	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255841482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSTHETIC ONE

Provider Business Mailing Address
First Line	:	3050 S CENTER ST STE 120
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2154
Country	:	US
Telephone Number	:	682-323-5921
Fax Number	:	682-323-5974

Provider Business Practice Location Address
First Line	:	3050 S CENTER ST STE 120
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2154
Country	:	US
Telephone Number	:	682-323-5921
Fax Number	:	682-323-5974

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARCUS T BAKER
Credential	:	CPO/L
Telephone Number	:	901-795-1776

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	03/17/2026

Similar Medicare Providers

1316008204 — MARCUS T BAKER CPO/L
Practice Location Address:

3050 S CENTER ST STE 120
ARLINGTON, TX
76014-2154

Practice Phone: 682-323-5921
Practice Fax: 682-323-5974

1891232617 — PROSTHETIC ONE
Practice Location Address:

3050 S CENTER ST STE 120
ARLINGTON, TX
76014-2154

Practice Phone: 682-323-5921
Practice Fax: 682-323-5974

1972154656 — CAREATC
Practice Location Address:

3050 S CENTER ST STE 130
ARLINGTON, TX
76014-2154

Practice Phone: 800-993-8244
Practice Fax:

1518805563 — REGINA CHRISTINE NEWMAN MSN, RN
Practice Location Address:

2442 S COLLINS ST
ARLINGTON, TX
76014-1238

Practice Phone: 817-881-3551
Practice Fax:

1992659015 — JAY KIMBER MANAGEMENT LLC
Practice Location Address:

2448 SUNFLOWER DR
ARLINGTON, TX
76014-1851

Practice Phone: 214-592-6975
Practice Fax:

1992100481 — MS. INSHAALLAH HEPHZIBAH RDN, LD L.L.C.
Practice Location Address:

1607 NANDINA DR. ARLINGTON TX
ARLINGTON, TX
76014

Practice Phone: 817-690-9298
Practice Fax:

Directions to “PROSTHETIC ONE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.