NPI 1184104309
Prosthetic One
Practice location
- Address
- 11908 Kanis Rd STE G7, Little Rock, AR 72211-3773
- Phone
- (501) 916-9632
- Mailing address
- 3125 Matlock Rd STE 100, Arlington, TX 76015-2905
Authorised official
- Name
- Marcus T Baker
- Title
- President
- Phone
- (682) 323-5921
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1184104309
- Entity type
- Organization
- NPI issued
- 16 Aug 2018
- Record last updated
- 16 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.