Organization
DIESEL PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LEE DIESEL CPO, LPO (OWNER)
(903) 891-0230
Entity
Organization
Contact information
Practice address
1411 W HOUSTON ST, SHERMAN, TX 75092-7409
(903) 891-0230
(903) 891-8743
Mailing address
1411 W HOUSTON ST, SHERMAN, TX 75092-7409
(903) 891-0230
(903) 891-8743
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
255
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172845301
—
TX
Enumeration date
02/21/2008
Last updated
11/02/2010
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