Organization
MID SOUTH ORTHOPEDIC SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK HALL (PRESIDENT)
(817) 832-0467
Entity
Organization
Contact information
Practice address
12008 RACHEL LEA LN, FORT WORTH, TX 76179-9137
(817) 439-5060
Mailing address
PO BOX 1835, KELLER, TX 76244-1835
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/04/2008
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