Organization
JS&H ORTHOPEDIC SUPPLY L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA JEAN WILLETT (OWNER)
(817) 624-0102
Entity
Organization
Contact information
Practice address
4410 W VICKERY BLVD, SUITE 104, FORT WORTH, TX 76107-6242
(817) 624-0102
(817) 624-9950
Mailing address
4410 W VICKERY BLVD, SUITE 104, FORT WORTH, TX 76107-6242
(817) 624-0102
(817) 624-9950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0067955A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172326401
—
SC
01
—
531352
BCBS
—
Enumeration date
07/07/2005
Last updated
06/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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