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Brilliant Medical Boutique Llc
Prosthetic/Orthotic Supplier in Weatherford, Texas
NPI 1497793830

Brilliant Medical Boutique Llc is a Prosthetic/Orthotic Supplier based in Weatherford, TX. Brilliant Medical Boutique Llc practices in Weatherford, TX. The NPI Number for Brilliant Medical Boutique Llc is 1497793830 and holds a License No. (Texas).

The current practice location address for Brilliant Medical Boutique Llc is 925 Santa Fe Dr, Weatherford, TX and can be reached out via phone at 817-594-5868 and via fax at 817-594-5833.

Location: 925 Santa Fe Dr, Weatherford, TX, 76086-5866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497793830
Provider Name
Brilliant Medical Boutique Llc
Credential
Provider Entity Type
Organization
Address
925 Santa Fe Dr, Weatherford, TX, 76086-5866
Phone Number
817-594-5868
Fax Number
817-594-5833
Provider Enumeration Date
06/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178601402 05 TX
institution
Provider Business Practice Location Address Details
Address
925 Santa Fe Dr
City
Weatherford
State
Texas
Zip
76086-5866
Phone Number
817-594-5868
Fax Number
817-594-5833
person
Provider Business Mailing Address Details
Address
925 Santa Fe Dr
City
Weatherford
State
Texas
Zip
76086-5866
Phone Number
817-594-5868
Fax Number
817-594-5833
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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