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Orthotic Lab
Customized Equipment (DME) in Fort Worth, Texas
NPI 1063990927

Orthotic Lab is a Customized Equipment (DME) based in Fort Worth, TX and is specialized in Customized Equipment. Orthotic Lab practices in Fort Worth, TX. The NPI Number for Orthotic Lab is 1063990927 and holds a License No. (Texas).

The current practice location address for Orthotic Lab is 800 8Th Ave Ste 536, Fort Worth, TX and can be reached out via phone at 817-332-5500 and via fax at 817-332-5503.

Location: 800 8Th Ave Ste 536, Fort Worth, TX, 76104-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063990927
Provider Name
Orthotic Lab
Credential
Provider Entity Type
Organization
Address
800 8Th Ave Ste 536, Fort Worth, TX, 76104-2604
Phone Number
817-332-5500
Fax Number
817-332-5503
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103849906 05 TX
institution
Provider Business Practice Location Address Details
Address
800 8Th Ave Ste 536
City
Fort Worth
State
Texas
Zip
76104-2604
Phone Number
817-332-5500
Fax Number
817-332-5503
person
Provider Business Mailing Address Details
Address
800 8Th Ave Ste 536
City
Fort Worth
State
Texas
Zip
76104-2604
Phone Number
817-332-5500
Fax Number
817-332-5503
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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