Jennifer A Small
Podiatrist Prosthetist
1401 W Magnolia Ave
Fort Worth
, Texas 76104-4250
Jennifer A Small
Podiatrist Prosthetist
1401 W Magnolia Ave
Fort Worth
, Texas 76104-4250
(817) 923-2101
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Jennifer A Small
- 1401 W Magnolia Ave
- Fort Worth, TX
- Zip : 76104-4250
- Phone : (817) 923-2101
Second Address
- Jennifer A Small
- 1401 W Magnolia Ave
- Fort Worth, TX
- Zip : 76104-4250
- Phone : (817) 923-2101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1324 | TX |
| N | 222Z00000X | Podiatrist | 1324 | TX |
| Y | 224P00000X | Prosthetist | 1324 | TX |
National Provider Identifier
| NPI | 1336372721 |
|---|---|
| Provider Name | Jennifer A Small |
| First Address | Fort Worth, TX 76104-4250 |
| Second Address | Fort Worth, TX 76104-4250 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2009 |
| Last Update Date | 01/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.