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PROSTHETICARE FORT WORTH LP NPI 1295959492


NPI Information

NPI: 1295959492
Provider Name: PROSTHETICARE FORT WORTH LP
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
7241 HAWKINS VIEW DR
FORT WORTH, TX
ZIP 76132
Phone: (817) 336-8293
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PROSTHETICARE FORT WORTH LP is a prosthetic orthotic supplier in Fort Worth, TX. The provider is 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. PROSTHETICARE FORT WORTH LP NPI is 1295959492. The provider is registered as an organization entity type.

The provider's business location address is:

7241 HAWKINS VIEW DR
FORT WORTH, TX
ZIP 76132-921
Phone: (817) 336-8293
Fax: (817) 336-9017

The provider's authorized official is Justin Jenkins .
The authorized official title is Ceo and has the following contact phone number (903) 571-5631.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 10/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic Supplier10128TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1061254040761040000OTHERTEXASCHAMPUS ID NUMBER
2519839OTHERTEXASBLUECROSSBLUESHIELD OF TX
3824704OTHERTEXASPCA HEALTH PLANS ID NUMBE
4087392901MEDICAIDTEXAS
562856OTHERTEXASCSHCN ID NUMBER
68540817OTHERTEXASAETNA ID NUMBER
780227OTHERTEXASUNITED HEALTHCARE ID NUMB
810689OTHERTEXASSECURE HORIZONS ID NUMBER
948393OTHERTEXASAMERICAID AMERIGROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.