Brilliant Medical Boutique Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Weatherford, Texas. It is situated at 925 Santa Fe Dr, Suite 100, Weatherford and its contact number is 817-594-5868. The authorized person of Brilliant Medical Boutique Llc is Jamie B. Mittendorf
who is Owner And Operator 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 Center 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.
925 Santa Fe Dr, Suite 100, Weatherford, Texas, 76086-5866
Phone:
817-594-5868
Fax:
817-594-5833
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 And Operator
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:
1497793830
NPI Enumeration Date:
04 Jun, 2006
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
Primary
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
178601402
Medicaid
Texas
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 925 Santa Fe Dr, Suite 100 Weatherford, Texas
Zip:
76086-5866
Phone Number:
817-594-5868
Fax Number:
817-594-5833
Patients can reach Brilliant Medical Boutique Llc at 925 Santa Fe Dr, Suite 100, Weatherford, Texas or can call to book an appointment on 817-594-5868. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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