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Kentoria Tatum
Prosthetic/Orthotic Supplier in Dallas, Texas
NPI 1821864463

Kentoria Tatum is a Prosthetic/Orthotic Supplier based in Dallas, TX. Kentoria Tatum practices in Dallas, TX. The NPI Number for Kentoria Tatum is 1821864463 and holds a License No. (Texas).

The current practice location address for Kentoria Tatum is 4245 N Central Expy Ste 490, Dallas, TX and can be reached out via phone at 469-245-6831.

Location: 4245 N Central Expy Ste 490, Dallas, TX, 75205-4231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821864463
Provider Name
Kentoria Tatum
Credential
Provider Entity Type
Individual
Gender
Female
Address
4245 N Central Expy Ste 490, Dallas, TX, 75205-4231
Phone Number
469-245-6831
Fax Number
Provider Enumeration Date
11/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4245 N Central Expy Ste 490
City
Dallas
State
Texas
Zip
75205-4231
Phone Number
469-245-6831
Fax Number
person
Provider Business Mailing Address Details
Address
4245 N Central Expy Ste 490
City
Dallas
State
Texas
Zip
75205-4231
Phone Number
469-245-6831
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Texas)
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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