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NPI Code Detail

MEDICARE: BIO-TECH PROSTHETICS AND ORTHOTICS, INC

MEDICARE: BIO-TECH PROSTHETICS AND ORTHOTICS, INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10457XOTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992781587
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-TECH PROSTHETICS AND ORTHOTICS, INC
Provider Business Mailing Address
First Line : P O BOX 650846
Second Line :
City : DALLAS
State : TX
Zip : 75265-0846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4309
Country : US
Telephone Number : 336-333-9081
Fax Number : 336-333-9083
Authorized Official
Title or Position : REG COMPLIANCE SPECIALIST IV
Name : GRACE ANGELINE
Credential :
Telephone Number : 714-961-2102
Provider Enumeration Date : 12/16/2005
Last Update Date : 04/26/2022

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Directions to “BIO-TECH PROSTHETICS AND ORTHOTICS, INC ” Practice Location

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