Organization
MARTIN BIONICS CLINICAL CARE DALLAS, LLC
Active
Parent organization
CAPITAL PROSTHETICS & ORTHOTICS, LLC
Other names
Martin Bionics Clinical Care Dallas
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL PROSTHETICS & ORTHOTICS, LLC
Authorized official
JAMES BEARD (CREDENTIALING COORDINATOR)
(405) 900-4935
Entity
Organization
Contact information
Practice address
850 W JOHN CARPENTER FWY, IRVING, TX 75039-2303
(844) 624-6642
Mailing address
214 E MAIN ST, OKLAHOMA CITY, OK 73104-4221
(844) 624-6642
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
08/22/2024
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