An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
TX license #101171taxonomy 335E00000X
Identifiers
Type
Value
Notes
05 (TX)
284080301
01 (TX)
517688
O&P
05 (TX)
284080303
01
6922550001
DMEPOS MEDICARE PTAN
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Custom Care Orthopedic Bracing and Prosthetics
Type code 3recorded 2019-10-24
Custom Care Orthopedic Bracing and Prosthetics
Type code 3recorded 2013-12-05
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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