Organization
PROSTHETIC ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS T BAKER CPO/L (PRESIDENT)
(901) 795-1776
Entity
Organization
Contact information
Practice address
3050 S CENTER ST STE 120, ARLINGTON, TX 76014-2154
(682) 323-5921
(682) 323-5974
Mailing address
3050 S CENTER ST STE 120, ARLINGTON, TX 76014-2154
(682) 323-5921
(682) 323-5974
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373710801
—
TX
05
—
373710802
—
TX
Enumeration date
10/02/2017
Last updated
03/17/2026
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