Brilliant Medical Boutique, Llc in Fort Worth - Durable Medical Equipment & Medical Supplies
Brilliant Medical Boutique, Llc - NPI 1770751950
Brilliant Medical Boutique, Llc is a Durable Medical Equipment & Medical Supplies in Fort Worth, Texas. Brilliant Medical Boutique, Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Brilliant Medical Boutique, Llc is 1770751950. The last update date is 2022-09-08.
Brilliant Medical Boutique, Llc's current location address is 6800 Harris Pkwy Ste 300, Fort Worth, Texas. You can contact this provider via phone number 6823129300 and fax number 6823129133. The mailing address for Brilliant Medical Boutique, Llc is 6800 Harris Pkwy Ste 300, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brilliant Medical Boutique, Llc |
|---|---|
| Address | 6800 Harris Pkwy Ste 300, Fort Worth, Texas |
| Phone Number | 6823129300 |
| Fax Number | 6823129133 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mittendorf B Jamie |
| Telephone Number | 8175945868 |
NPI Number Detail
| NPI Number | 1770751950 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2022-09-08 |
Provider Mailing Address Detail
| Address | 6800 Harris Pkwy Ste 300 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761324262 |
| Phone Number | 6823129300 |
| Fax Number | 6823129133 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
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. |
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What is the unique identification code assigned to Brilliant Medical Boutique, Llc by the Centers for Medicare & Medicaid Services?
The Brilliant Medical Boutique, Llc has been issued the NPI (National Provider Identifier) 1770751950. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brilliant Medical Boutique, Llc is geographically located?
The Brilliant Medical Boutique, Llc is physically situated at the following location: 6800 Harris Pkwy Ste 300, Fort Worth, TX, 761324262.
What is the Brilliant Medical Boutique, Llc's area of specialization and corresponding taxonomy classification?
The Brilliant Medical Boutique, Llc's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770751950 to Brilliant Medical Boutique, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1770751950 to Brilliant Medical Boutique, Llc on 2008-02-11.
As of what date was the information regarding Brilliant Medical Boutique, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brilliant Medical Boutique, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-08.
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