Provider Demographics
NPI:1093151672
Name:TOTAL CARE ORTHOTICS AND PROSTHETICS
Entity Type:Organization
Organization Name:TOTAL CARE ORTHOTICS AND PROSTHETICS
Other - Org Name:ORTHOTIC DESIGNS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED AND LICENSED ORTHOTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCK
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUTRIN
Authorized Official - Suffix:
Authorized Official - Credentials:CO, LO
Authorized Official - Phone:214-242-8977
Mailing Address - Street 1:12890 HILLCREST RD
Mailing Address - Street 2:K201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1504
Mailing Address - Country:US
Mailing Address - Phone:214-242-8977
Mailing Address - Fax:214-242-9043
Practice Address - Street 1:12890 HILLCREST RD
Practice Address - Street 2:K201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1504
Practice Address - Country:US
Practice Address - Phone:214-242-8977
Practice Address - Fax:214-242-9043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101439335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier