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Darla Jo Hanson
Prosthetic/Orthotic Supplier in Odessa, Texas
NPI 1912011602

Darla Jo Hanson is a Prosthetic/Orthotic Supplier based in Ackerly, TX. Darla Jo Hanson practices in Odessa, TX. The NPI Number for Darla Jo Hanson is 1912011602 and holds a License No. (Texas).

The current practice location address for Darla Jo Hanson is 4101 E 42Nd St, Odessa, TX and can be reached out via phone at 432-366-1158 and via fax at 432-366-1158.

Location: 4101 E 42Nd St, Odessa, TX, 79713-4038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912011602
Provider Name
Darla Jo Hanson
Credential
Provider Entity Type
Organization
Address
4101 E 42Nd St, Odessa, TX, 79713-4038
Phone Number
432-366-1158
Fax Number
432-366-1158
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0107997-01 05 TX
103263100 01 TX FIRST CARE
530030 01 TX BC/BS
institution
Provider Business Practice Location Address Details
Address
4101 E 42Nd St
City
Odessa
State
Texas
Zip
79762-7239
Phone Number
432-366-1158
Fax Number
432-366-1158
person
Provider Business Mailing Address Details
Address
4101 E 42Nd St
City
Odessa
State
Texas
Zip
79762-7239
Phone Number
432-366-1158
Fax Number
432-366-1158
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
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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