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NPI Code Detail

MEDICARE: ORTHO CARE INC

MEDICARE: ORTHO CARE 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

Other Identifiers

General Provider Information

NPI Number : 1114952611
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHO CARE INC
Provider Business Mailing Address
First Line : 5204 TENNYSON PKWY
Second Line : SUITE 100
City : PLANO
State : TX
Zip : 75024-7141
Country : US
Telephone Number : 214-501-0300
Fax Number : 214-501-0299
Provider Business Practice Location Address
First Line : 3619 S 149TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68144-5554
Country : US
Telephone Number : 402-916-5928
Fax Number : 402-916-5692
Authorized Official
Title or Position : VP OPERATIONS
Name : MRS. TAMMY WOOD
Credential :
Telephone Number : 405-615-8496
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/15/2013

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Directions to “ORTHO CARE INC ” Practice Location

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