CPO/L Marcus T Baker, NPI 1316008204
Prosthetic/Orthotic Supplier in Arlington, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1316008204
NPI Entity Type Individual
Provider Name CPO/L Marcus T Baker
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3125 Matlock Rd, Ste 100, Arlington, TX, US
Provider Mailing Address 5107 Copper Cove Cir, Mansfield, TX, US, 760636835
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

335E00000X

Taxonomy Name Prosthetic/Orthotic Supplier
Classification

Prosthetic/Orthotic Supplier

Group

Suppliers

License No. 335E00000X
License State MS
Description 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.

Business Address

CPO/L Marcus T Baker
3125 Matlock Rd
Ste 100

Arlington, TX, US

Phone: 682-323-5921
Fax: 682-323-5974

Mailing Address

CPO/L Marcus T Baker
5107 Copper Cove Cir
Mansfield, TX, US
ZIP 760636835
Phone: 901-795-1776
Fax: 901-795-1738

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

332B00000X MS No

335E00000X

Suppliers

Prosthetic/Orthotic Supplier

PRO0000000069 TN No

335E00000X

Suppliers

Prosthetic/Orthotic Supplier

ORT0000000093 TN No

335E00000X

Suppliers

Prosthetic/Orthotic Supplier

1829 TX No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00376397 MS MEDICAID 05
162145716 AR MEDICAID 05
1455030 TN MEDICAID 05

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Organization

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Organization

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Organization

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