JAMES J SMALL

FORT WORTH, TX
NPI1518190909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  1323)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  1323)
Enumeration Date2009-09-01
Last Update Date2009-09-01
Business Address
JAMES J SMALL CPO
1401 W MAGNOLIA AVE
FORT WORTH, TX 76104-4250
Phone number: 817-923-2101
Mailing Address
JAMES J SMALL CPO
1401 W MAGNOLIA AVE
FORT WORTH, TX 76104-4250
Phone number: 817-923-2101
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