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NPI Code Detail

MEDICARE: HEDGECOCK ARTIFICIAL LIMB CO., INC.

MEDICARE: HEDGECOCK ARTIFICIAL LIMB CO., 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
1335E00000XProsthetic/Orthotic Supplier000050TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000500051OTHERTXBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336220607
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEDGECOCK ARTIFICIAL LIMB CO., INC.
Provider Business Mailing Address
First Line : 6500 GREENVILLE AVE
Second Line : STE 195
City : DALLAS
State : TX
Zip : 75206-1014
Country : US
Telephone Number : 214-360-9700
Fax Number : 214-360-9713
Provider Business Practice Location Address
First Line : 6500 GREENVILLE AVE
Second Line : STE 195
City : DALLAS
State : TX
Zip : 75206-1014
Country : US
Telephone Number : 214-360-9700
Fax Number : 214-360-9713
Authorized Official
Title or Position : CHAIRMAN OF BOARD/PRESIDENT
Name : ANN CICERO
Credential :
Telephone Number : 214-360-9700
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/24/2010

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Directions to “HEDGECOCK ARTIFICIAL LIMB CO., INC. ” Practice Location

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