Organization
DALLAS CUSTOM ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON HAVEY (OWNER)
(314) 497-7782
Entity
Organization
Contact information
Practice address
2817 REGAL RD, SUITE 109, PLANO, TX 75075-6444
(214) 507-4015
Mailing address
17600 CHESTERFIELD AIRPORT RD, SUITE 204, CHESTERFIELD, MO 63005-1246
(314) 497-7782
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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