MEDICARE: HANGER PROSTHETICS & ORTHOTICS EAST 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

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

General Provider Information

NPI Number	:	1225102189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS EAST INC

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:	405-752-4298
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 W MEMORIAL RD STE 137
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1787
Country	:	US
Telephone Number	:	405-752-4298
Fax Number	:

Authorized Official
Title or Position	:	DIR OF REIMBURSEMENT
Name	:	SHERYL PRICE
Credential	:
Telephone Number	:	503-493-8288

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	12/17/2014

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