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Brilliant Medical Boutique, Llc
Prosthetic/Orthotic Supplier in Fort Worth, Texas
NPI 1770751950

Brilliant Medical Boutique, Llc is a Prosthetic/Orthotic Supplier based in Fort Worth, TX. Brilliant Medical Boutique, Llc practices in Fort Worth, TX. The NPI Number for Brilliant Medical Boutique, Llc is 1770751950 and holds a License No. (Texas).

The current practice location address for Brilliant Medical Boutique, Llc is 6800 Harris Pkwy Ste 300, Fort Worth, TX and can be reached out via phone at 682-312-9300 and via fax at 682-312-9133.

Location: 6800 Harris Pkwy Ste 300, Fort Worth, TX, 76132-4262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770751950
Provider Name
Brilliant Medical Boutique, Llc
Credential
Provider Entity Type
Organization
Address
6800 Harris Pkwy Ste 300, Fort Worth, TX, 76132-4262
Phone Number
682-312-9300
Fax Number
682-312-9133
Provider Enumeration Date
02/11/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
6800 Harris Pkwy Ste 300
City
Fort Worth
State
Texas
Zip
76132-4262
Phone Number
682-312-9300
Fax Number
682-312-9133
person
Provider Business Mailing Address Details
Address
6800 Harris Pkwy Ste 300
City
Fort Worth
State
Texas
Zip
76132-4262
Phone Number
682-312-9300
Fax Number
682-312-9133
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
CFM01117 (Tennessee)
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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