institution
Prostheticare Fort Worth Lp
Prosthetic/Orthotic Supplier in Fort Worth, Texas
NPI 1295959492

Prostheticare Fort Worth Lp is a Prosthetic/Orthotic Supplier based in Fort Worth, TX. Prostheticare Fort Worth Lp practices in Fort Worth, TX. The NPI Number for Prostheticare Fort Worth Lp is 1295959492 and holds a License No. 10128 (Texas).

The current practice location address for Prostheticare Fort Worth Lp is 7241 Hawkins View Dr, Fort Worth, TX and can be reached out via phone at 817-336-8293 and via fax at 817-336-9017. You can also correspond with Prostheticare Fort Worth Lp through the mailing address at 7241 HAWKINS VIEW DR, FORT WORTH, TX - 76132-3921 (mailing address contact number: 817-336-8293).

Location: 7241 Hawkins View Dr, Fort Worth, TX, 76132-3921
institution
Provider Profile Details
NPI Number
1295959492
Provider Name
Prostheticare Fort Worth Lp
Credential
Provider Entity Type
Organization
Address
7241 Hawkins View Dr, Fort Worth, TX, 76132-3921
Phone Number
817-336-8293
Fax Number
817-336-9017
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061254040761040000 01 TX CHAMPUS ID NUMBER
519839 01 TX BLUECROSSBLUESHIELD OF TX
824704 01 TX PCA HEALTH PLANS ID NUMBE
087392901 05 TX
62856 01 TX CSHCN ID NUMBER
8540817 01 TX AETNA ID NUMBER
80227 01 TX UNITED HEALTHCARE ID NUMB
10689 01 TX SECURE HORIZONS ID NUMBER
48393 01 TX AMERICAID AMERIGROUP ID
institution
Provider Business Practice Location Address Details
Address
7241 Hawkins View Dr
City
State
Zip
76132-3921
Phone Number
817-336-8293
Fax Number
817-336-9017
person
Provider Business Mailing Address Details
Address
7241 Hawkins View Dr
City
State
Zip
76132-3921
Phone Number
817-336-8293
Fax Number
817-336-9017
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
10128 (Texas)
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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