Brilliant Medical Boutique LLC
Brilliant Medical Boutique LLC is a Durable Medical Equipment & Medical Supplies in Weatherford, Texas. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
925 Santa Fe Dr Ste 100Weatherford, TX 76086-5866
Phone: (817) 594-5868
Fax: (817) 594-5833
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
Record details
| NPI number | 1497793830 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamie Mittendorf — Owner And Operator · (817) 594-5868 |
| NPI enumerated | June 4, 2006 |
| Last updated in NPPES | September 8, 2022 |
| Certification date | September 8, 2022 |
| Mailing address | 925 Santa Fe Dr, Suite 100, Weatherford, TX 76086-5866 |
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