NPI 1003047275

Jared B Bateman, CO

Practitioner Orthotist Fort Worth, TX

Practice location

Address: 1401 W Magnolia Ave, Fort Worth, TX 76104-4250
Phone: (817) 923-2101
Fax: (817) 926-1471

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1354 (TX)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003047275
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2009
Record last updated: 5 Aug 2009

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.