Organization
PROSTHETIC ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS BAKER CPO/L (CEO)
(682) 323-5921
Entity
Organization
Contact information
Practice address
3050 S CENTER ST STE 120, ARLINGTON, TX 76014-2154
(682) 323-5921
(682) 323-5974
Mailing address
3125 MATLOCK RD STE 100, ARLINGTON, TX 76015-2905
(682) 323-5921
(682) 323-5974
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1829
TX
Other
Enumeration date
01/31/2017
Last updated
01/24/2025
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