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SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC NPI 1669778916


NPI Information

NPI: 1669778916
Provider Name: SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC

Doing Business As: SURVIVOR GALS SPECIALTY PRODUCTS FORT WORTH

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1400 8TH AVE STE 100-A
FORT WORTH, TX
ZIP 76104
Phone: (817) 924-8800
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SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC 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. SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC NPI is 1669778916. The provider is registered as an organization entity type.
The provider Is Doing Business As Survivor Gals Specialty Products Fort Worth.

The provider's business location address is:

1400 8TH AVE STE 100-A
FORT WORTH, TX
ZIP 76104-110
Phone: (817) 924-8800
Fax: (817) 924-5500

The provider's authorized official is Jennifer Grunwald .
The authorized official title is Owner and has the following contact phone number (972) 599-7677.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 9/13/2011.


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 SupplierYes

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

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