MEDICARE: MID SOUTH ORTHOPEDIC SUPPLIES, INC.

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1669526224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID SOUTH ORTHOPEDIC SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1835
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76244-1835
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12008 RACHEL LEA LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-9137
Country	:	US
Telephone Number	:	817-439-5060
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PATRICK HALL
Credential	:
Telephone Number	:	817-832-0467

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/04/2008

Similar Medicare Providers

1225900012 — ACACIA SHIROMA
Practice Location Address:

9137 SAINT KITTS RD
FORT WORTH, TX
76123-3523

Practice Phone: 682-206-8098
Practice Fax:

1073584678 — ALL COUNTY AMBULANCE INC
Practice Location Address:

4227 ST. LUCIE BLVD.
FORT PIERCE, FL
34946-9137

Practice Phone: 772-465-1111
Practice Fax: 772-466-1150

1861324469 — SCOTT YOUNG LPC ASSOCIATE
Practice Location Address:

3348 PEDEN RD STE 501
FORT WORTH, TX
76179-5508

Practice Phone: 817-714-4196
Practice Fax:

1336078963 — GARRETT DARREN LOVELAND
Practice Location Address:

4617 W BAILEY BOSWELL RD
FORT WORTH, TX
76179-4327

Practice Phone: 972-979-6577
Practice Fax:

1194244525 — TERESA ANN JOHNSON LCPC
Practice Location Address:

8853 GREENHAVEN DR
FORT WORTH, TX
76179-2913

Practice Phone: 817-994-0280
Practice Fax:

1528998119 — NICHOLE ERAL LCSW
Practice Location Address:

4813 CARAWAY DR
FORT WORTH, TX
76179-8105

Practice Phone: 682-407-3601
Practice Fax:

Directions to “MID SOUTH ORTHOPEDIC SUPPLIES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.