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NPI Code Detail

MEDICARE: TRANSCEND ORTHOTICS & PROSTHETICS, LLC

MEDICARE: TRANSCEND ORTHOTICS & PROSTHETICS, LLC
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 : 1851496756
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSCEND ORTHOTICS & PROSTHETICS, LLC
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 : 3445 W 96TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1102
Country : US
Telephone Number : 317-334-1114
Fax Number : 317-334-0816
Authorized Official
Title or Position : PROVIDER CONTRACT ANALYST III
Name : GRACE ANGELINE
Credential :
Telephone Number : 714-961-2102
Provider Enumeration Date : 09/14/2006
Last Update Date : 08/12/2023

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Directions to “TRANSCEND ORTHOTICS & PROSTHETICS, LLC ” Practice Location

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