Organization
JPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN STICKNEY (DPM)
(405) 361-0924
Entity
Organization
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Mailing address
3909 WARWICK DR, NORMAN, OK 73072-3232
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
TX
Other
Enumeration date
06/24/2010
Last updated
07/21/2022
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