Organization
HEDGECOCK ARTIFICIAL LIMB CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CICERO (PRESIDENT/OWNER)
(214) 744-3278
Entity
Organization
Contact information
Practice address
1917 S BECKHAM AVE, TYLER, TX 75701-4453
(903) 531-2228
(903) 531-2229
Mailing address
2909 CANTON ST STE C, DALLAS, TX 75226-3508
(214) 744-3278
(214) 744-3280
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
000050
TX
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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