Organization
BEARFOOT SHOES, LLC
Active
Other names
Sports and Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E SHERO C.PED (PRESIDENT/CEO)
(817) 894-9436
Entity
Organization
Contact information
Practice address
1205 MEDICAL PLAZA CT, GRANBURY, TX 76048
(817) 900-2250
(877) 757-5233
Mailing address
1205 MEDICAL PLAZA CT, GRANBURY, TX 76048-5684
(817) 900-2250
(877) 757-5233
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
04/07/2021
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