Organization
PETERMAN ORTHOTICS & PROSTHETICS LLC
Active
Parent organization
HANGER INC
Other names
Advanced Limb & Brace
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
MS. GRACE ANGELINE (PROVIDER CONTRACT ANALYST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
2648 34TH ST, LUBBOCK, TX 79410-3520
(806) 783-8388
(806) 783-8956
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
215
TX
335E00000X
Prosthetic/Orthotic Supplier
404
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
588
TX
335E00000X
Prosthetic/Orthotic Supplier
591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174985503
—
TX
Enumeration date
07/10/2006
Last updated
07/31/2024
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