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
GRACE ANGELINE (PROVIDER CONTRACT ANALYST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
4 MEDICAL DR STE B, AMARILLO, TX 79106-4166
(806) 351-1775
(806) 351-1754
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
101169
TX
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
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/30/2005
Last updated
08/01/2024
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