Individual
MS. MARTHA CECILIA CONCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO,LPO
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7440
(214) 559-7473
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7440
(214) 559-7473
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1313
TX
224P00000X
Prosthetist
1313
TX
Other
Enumeration date
06/09/2014
Last updated
02/23/2016
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