MEDICARE: YOURS TRULY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1417043456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOURS TRULY

Provider Business Mailing Address
First Line	:	6231 OAKMONT BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-2812
Country	:	US
Telephone Number	:	817-263-0014
Fax Number	:

Provider Business Practice Location Address
First Line	:	6231 OAKMONT BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-2812
Country	:	US
Telephone Number	:	817-263-0014
Fax Number	:	817-263-5779

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CYNTHIA GAYLE LESCOAT
Credential	:
Telephone Number	:	817-263-0014

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/22/2020

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Directions to “YOURS TRULY ” Practice Location

Language	Start Address	Practice Location

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