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NPI Code Detail

MEDICARE: HANGER PROSTHETICS & ORTHOTIC INC

MEDICARE: HANGER PROSTHETICS & ORTHOTIC 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
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053578153
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANGER PROSTHETICS & ORTHOTIC INC
Provider Business Mailing Address
First Line : PO BOX 650846
Second Line :
City : DALLAS
State : TX
Zip : 75265-0846
Country : US
Telephone Number : 615-340-0068
Fax Number : 615-640-0028
Provider Business Practice Location Address
First Line : 1823 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2104
Country : US
Telephone Number : 615-340-0068
Fax Number : 615-340-0068
Authorized Official
Title or Position : REG COMPLIANCE SPECIALIST III
Name : GRACE ANGELINE
Credential :
Telephone Number : 714-961-2102
Provider Enumeration Date : 05/18/2008
Last Update Date : 03/08/2018

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Directions to “HANGER PROSTHETICS & ORTHOTIC INC ” Practice Location

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