Organization
D & D ORTHOTICS AND PROSTHETICS
Active
Organization
D & D ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINAH MARTIN (PARTNER)
(972) 254-9292
Entity
Organization
Contact information
Practice address
1638 W IRVING BLVD, IRVING, TX 75061-7258
(972) 254-9292
(972) 254-9290
Mailing address
1638 W IRVING BLVD, IRVING, TX 75061-7258
(972) 254-9292
(972) 254-9290
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1547242-01
—
TX
01
—
531355
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/16/2006
Last updated
05/11/2017
Update your record
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