Mid South Orthopedic Supplies, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MID SOUTH ORTHOPEDIC SUPPLIES, INC.

Practice address

12008 Rachel Lea LN
Fort Worth, TX 76179-9137

Phone

(817) 439-5060

NPI assigned

Jan 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Hall

Title

President

Phone

(817) 832-0467

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1669526224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1835",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762441835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12008 RACHEL LEA LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761799137",
            "telephone_number": "817-439-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH ORTHOPEDIC SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-832-0467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally McIntyre Michaud, NNP-BC
• Michelle Harvey, PHD Clinical Health Psychology
• Stephen Christopher Michlin, D.C., B.C.A.O.
• Jayma Mickler, PA-C
• Mid Cities Synaptic Neuro LLC
• Mid-Cities Surgical First Asst. Inc
• Jennifer Lynn Middlebrooks, HID
• Edith Middleton
• Midtown Medical Imaging - Alliance
• Midtown Medical Imaging - Fort Worth, LLC

• Customized Equipment (DME) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.