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Chengetai Beverly Matengenzara
Prosthetic/Orthotic Supplier in Dallas, Texas
NPI 1710447388

Chengetai Beverly Matengenzara is a Prosthetic/Orthotic Supplier based in Dallas, TX. Chengetai Beverly Matengenzara practices in Dallas, TX. The NPI Number for Chengetai Beverly Matengenzara is 1710447388 and holds a License No. (Texas).

The current practice location address for Chengetai Beverly Matengenzara is 18950 Marsh Ln Apt 208, Dallas, TX and can be reached out via phone at 214-659-1138.

Location: 18950 Marsh Ln Apt 208, Dallas, TX, 75287-2157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710447388
Provider Name
Chengetai Beverly Matengenzara
Credential
Provider Entity Type
Individual
Gender
Female
Address
18950 Marsh Ln Apt 208, Dallas, TX, 75287-2157
Phone Number
214-659-1138
Fax Number
Provider Enumeration Date
03/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18950 Marsh Ln Apt 208
City
Dallas
State
Texas
Zip
75287-2157
Phone Number
214-659-1138
Fax Number
person
Provider Business Mailing Address Details
Address
18950 Marsh Ln Apt 208
City
Dallas
State
Texas
Zip
75287-2157
Phone Number
214-659-1138
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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 physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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