Organization
T E T CORPORATION
Active
Other names
Arne Mattson Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY E TROXEL CPED (PRESIDENT)
(402) 553-3158
Entity
Organization
Contact information
Practice address
213 N 76TH ST, OMAHA, NE 68114-3627
(402) 553-3158
(402) 553-7967
Mailing address
213 N 76TH ST, OMAHA, NE 68114-3639
(402) 553-3158
(402) 553-7967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546473
—
IA
01
—
1023402
UHC
—
Enumeration date
08/17/2006
Last updated
04/20/2008
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