Organization · Type 2 NPI

Dallas Custom Orthotics LLC

Customized Equipment (DME) · Plano, TX

NPI number 1700135852 Active

Practice location

2817 Regal Rd, Suite 109
Plano, TX 75075-6444

Call (214) 507-4015 Map

Mailing address

17600 Chesterfield Airport Rd, Suite 204
Chesterfield, MO 63005-1246

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1700135852

Dallas Custom Orthotics LLC's National Provider Identifier is 1700135852, issued on Sep 5, 2012. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Plano, TX. The record was last updated on Sep 5, 2012.