Individual
JORDI BOSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 PAINTED LAKE CIR APT 210, THE COLONY, TX 75056-4788
(214) 529-8031
Mailing address
18484 PRESTON RD, DALLAS, TX 75252-5400
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1459956
TX
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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