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Organization
DJO, LLC
Active
Organization
DJO, LLC
Active
Parent organization
DJO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DJO, LLC
Authorized official
MR. ANDRES MORENO III (PRESIDENT)
(800) 321-9549
Entity
Organization
Contact information
Practice address
2900 LAKE VISTA DR STE 200, LEWISVILLE, TX 75067-3889
(800) 321-9549
(844) 277-2075
Mailing address
2900 LAKE VISTA DR STE 200, LEWISVILLE, TX 75067-3889
(866) 356-7846
(844) 277-2075
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
04/07/2022
Last updated
12/05/2025
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