NPI 1215248265
Jps
Practice location
- Address
- 1500 S Main St, Fort Worth, TX 76104-4917
- Phone
- (817) 921-3431
- Mailing address
- 3909 Warwick Dr, Norman, OK 73072-3232
Authorised official
- Name
- Nathan Stickney
- Title
- DPM
- Phone
- (405) 361-0924
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1215248265
- Entity type
- Organization
- NPI issued
- 24 Jun 2010
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.