Brilliant Medical Boutique, Llc
Prosthetic & Orthotic Supplier
6800 Harris Pkwy Ste 300, Fort Worth
Texas, 76132-4262
682-312-9300 682-312-9133
Maps & DirectionsBrilliant Medical Boutique, Llc is a Prosthetic & Orthotic Supplier in Fort Worth, Texas. It is situated at 6800 Harris Pkwy Ste 300, Fort Worth and its contact number is 682-312-9300. The authorized person of Brilliant Medical Boutique, Llc is Jamie B Mittendorf
who is Owner of the store and his/her contact number is 817-594-5868.
Brilliant Medical Boutique, Llc 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.
Complete Profile:
Brilliant Medical Boutique, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 6800 Harris Pkwy Ste 300, Fort Worth,
Texas, 76132-4262 |
| Phone: | 682-312-9300 |
| Fax: | 682-312-9133 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Jamie B Mittendorf |
| Position: | Owner |
| Contact Number: | 817-594-5868 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brilliant Medical Boutique, Llc center are as mentioned below.
| NPI Number: | 1770751950 |
| NPI Enumeration Date: | 11 Feb, 2008 |
| NPI Last Update On: | 08 Sep, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brilliant Medical Boutique, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Prosthetic/orthotic Supplier | CFM01117 | Tennessee | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Brilliant Medical Boutique, Llc
6800 Harris Pkwy Ste 300,
Fort Worth, Texas |
| Zip: | 76132-4262 |
| Phone Number: | 682-312-9300 |
| Fax Number: | 682-312-9133 |
Patients can reach Brilliant Medical Boutique, Llc at
6800 Harris Pkwy Ste 300, Fort Worth, Texas or can
call to book an appointment on 682-312-9300.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.