| |
4759 South Fwy Ste B, Fort Worth, TX 76115-3655 | |
(817) 923-1953 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 4759 South Fwy Ste B, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699551499 | NPI | - | NPPES |
7736730053 | Other | NSC DME SUPPLIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8135 Forest Ln # 515057, Dallas, TX 75230-2472 Ph: (972) 736-8112 | 4759 South Fwy Ste B, Fort Worth, TX 76115-3655 Ph: (817) 923-1953 |