1497793830 BRILLIANT MEDICAL BOUTIQUE LLC
Durable Medical Equipment & Medical Supplies
Active
Basic Information
- Organization Name
- BRILLIANT MEDICAL BOUTIQUE LLC
- Enumeration Date
- June 4, 2006
- Last Update
- September 8, 2022
- Authorized Official
- JAMIE B. MITTENDORF
OWNER AND OPERATOR
Phone: (817) 594-5868
Practice Location
- Address
- 925 SANTA FE DR
SUITE 100
WEATHERFORD, TX 760865866 - Phone
- (817) 594-5868
- Fax
- (817) 594-5833
Mailing Address
- Address
- 925 SANTA FE DR
SUITE 100
WEATHERFORD, TX 760865866 - Phone
- (817) 594-5868
- Fax
- (817) 594-5833
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | N/A | No |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178601402 | 05 | TX | N/A |
Frequently Asked Questions
What is BRILLIANT MEDICAL BOUTIQUE LLC's NPI number?
BRILLIANT MEDICAL BOUTIQUE LLC's NPI number is 1497793830.
Which doctor has NPI number 1497793830?
The doctor with NPI number 1497793830 is BRILLIANT MEDICAL BOUTIQUE LLC.
What is BRILLIANT MEDICAL BOUTIQUE LLC's practice address?
BRILLIANT MEDICAL BOUTIQUE LLC's practice address is 925 SANTA FE DR, SUITE 100, WEATHERFORD, TX, 760865866.
Which doctor practices at 925 SANTA FE DR, SUITE 100, WEATHERFORD, TX, 760865866?
BRILLIANT MEDICAL BOUTIQUE LLC practices at 925 SANTA FE DR, SUITE 100, WEATHERFORD, TX, 760865866.
What is BRILLIANT MEDICAL BOUTIQUE LLC's phone number?
BRILLIANT MEDICAL BOUTIQUE LLC's phone number is (817) 594-5868.
Who is (817) 594-5868?
(817) 594-5868 is the phone number for BRILLIANT MEDICAL BOUTIQUE LLC.
What is BRILLIANT MEDICAL BOUTIQUE LLC's specialty?
BRILLIANT MEDICAL BOUTIQUE LLC's specialty is Durable Medical Equipment & Medical Supplies.
What type of doctor is BRILLIANT MEDICAL BOUTIQUE LLC?
BRILLIANT MEDICAL BOUTIQUE LLC is a Durable Medical Equipment & Medical Supplies.
Is BRILLIANT MEDICAL BOUTIQUE LLC a Durable Medical Equipment & Medical Supplies?
Yes, BRILLIANT MEDICAL BOUTIQUE LLC is a Durable Medical Equipment & Medical Supplies.
Is BRILLIANT MEDICAL BOUTIQUE LLC still practicing?
Yes, BRILLIANT MEDICAL BOUTIQUE LLC is currently practicing.
Is BRILLIANT MEDICAL BOUTIQUE LLC accepting new patients?
BRILLIANT MEDICAL BOUTIQUE LLC may be accepting new patients. Please call their office at (817) 594-5868 to inquire about availability.
Is NPI 1497793830 still active?
Yes, NPI 1497793830 is currently active.
Where does BRILLIANT MEDICAL BOUTIQUE LLC practice?
BRILLIANT MEDICAL BOUTIQUE LLC practices in WEATHERFORD, TX.