Most Relevant Information
Provider Data
| NPI Number: | 1003047275 |
| Provider Name: | JARED B BATEMAN CO |
| Entity Type: | Individual |
| Taxonomy Code: | 222Z00000X |
| Specialty: | Orthotist |
| License Number: | 1354 |
Most Important Dates
| Enumeration Date: | 08/05/2009 |
| Last Updated: | 08/05/2009 |
Provider Practice Location
1401 W MAGNOLIA AVE
FORT WORTH
TX
761044250
Practice Location Phone/Fax
| Phone: | 8179232101 |
| Fax: | 8179261471 |
Provider Mailing Location
1401 W MAGNOLIA AVE
FORT WORTH
TX
761044250
Provider Mailing Phone/Fax
| Phone: | 8179232101 |
| Fax: | 8179261471 |