# JPS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215248265
- **Authorized official:** NATHAN STICKNEY (DPM)
- **Authorized official phone:** (405) 361-0924

## Contact information

- **Practice address:** 1500 S MAIN ST, FORT WORTH, TX 76104-4917
- **Practice address phone:** (817) 921-3431
- **Mailing address:** 3909 WARWICK DR, NORMAN, OK 73072-3232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | TX | Yes |

## Other

- **Enumeration date:** 06/24/2010
- **Last updated:** 07/21/2022