Organization
SEW SOPHISTICATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE NICOLE MAULDIN (OWNER)
(214) 469-7774
Entity
Organization
Contact information
Practice address
539 W COMMERCE ST # 6564, DALLAS, TX 75208-1953
(469) 214-5774
Mailing address
539 W COMMERCE ST # 6564, DALLAS, TX 75208-1953
(469) 214-5774
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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