NPI 1518145788

The Bra Shop

Organisation Prosthetic/Orthotic Supplier Fort Worth, TX

Practice location

Address: 6231 Oakmont Blvd, Fort Worth, TX 76132-2812
Phone: (817) 263-0014
Fax: (817) 263-5779

Authorised official

Name: Sylvia Deanna Jones
Title: Owner
Phone: (817) 263-0014

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence C17478 (TX)

Other Prosthetic/Orthotic Supplier providers in Texas →

Registry record

NPI: 1518145788
Entity type: Organization
NPI issued: 9 Feb 2008
Record last updated: 9 Feb 2008

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.