Prostheticare Fort Worth Lp in Fort Worth - Prosthetic/orthotic Supplier
Prostheticare Fort Worth Lp - NPI 1295959492
Prostheticare Fort Worth Lp is a Prosthetic/orthotic Supplier in Fort Worth, Texas. Prostheticare Fort Worth Lp practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Prostheticare Fort Worth Lp is 1295959492. The last update date is 2023-10-12.
Prostheticare Fort Worth Lp's current location address is 7241 Hawkins View Dr, Fort Worth, Texas. You can contact this provider via phone number 8173368293 and fax number 8173369017. The mailing address for Prostheticare Fort Worth Lp is 7241 Hawkins View Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prostheticare Fort Worth Lp |
|---|---|
| Address | 7241 Hawkins View Dr, Fort Worth, Texas |
| Phone Number | 8173368293 |
| Fax Number | 8173369017 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jenkins Justin |
| Telephone Number | 9035715631 |
NPI Number Detail
| NPI Number | 1295959492 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2023-10-12 |
Provider Mailing Address Detail
| Address | 7241 Hawkins View Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761323921 |
| Phone Number | 8173368293 |
| Fax Number | 8173369017 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 10128 |
|
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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 612540407610400 | TX | CHAMPUS ID NUMBER | |
| 519839 | TX | BLUECROSSBLUESHIELD OF TX | |
| 824704 | TX | PCA HEALTH PLANS ID NUMBE | |
| 87392901 | TX | -- | |
| 62856 | TX | CSHCN ID NUMBER | |
| 8540817 | TX | AETNA ID NUMBER | |
| 80227 | TX | UNITED HEALTHCARE ID NUMB | |
| 10689 | TX | SECURE HORIZONS ID NUMBER | |
| 48393 | TX | AMERICAID AMERIGROUP ID |
Post Comment/ Review Below
What is the Prostheticare Fort Worth Lp's unique identification number?
The Prostheticare Fort Worth Lp has been assigned the NPI (National Provider Identifier) Number 1295959492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Prostheticare Fort Worth Lp located?
The Prostheticare Fort Worth Lp is located at 7241 Hawkins View Dr, Fort Worth, TX 761323921.
What is Prostheticare Fort Worth Lp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Prostheticare Fort Worth Lp is Prosthetic/orthotic Supplier, and the corresponding taxonomy classification code for this specialized field is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295959492 to Prostheticare Fort Worth Lp?
The Centers for Medicare & Medicaid Services originally issued the 1295959492 to Prostheticare Fort Worth Lp on 2007-04-12.
As of what date were the details pertaining to Prostheticare Fort Worth Lp last refreshed?
The information related to the Prostheticare Fort Worth Lp, including its address, specialty, and other relevant details, was last updated on 2023-10-12.