Individual provider · Type 1 NPI
Tiajannae S. Wilson
Durable Medical Equipment & Medical Supplies · Fort Worth, TX
NPI number
1336954973
Active
Practice location
6850 Manhattan Blvd # 3002
Fort Worth, TX 76120-1227
Mailing address
2233 Lucas Dr
Fort Worth, TX 76112-7918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2 other providers at this address
Other durable medical equipment & medical supplies providers in Fort Worth
- Luke D. BannerDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1144169863
- Deron Terel GrayDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1275865735
- Randy Lee SmithDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1336173632
- Evan LarsonDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1376164921
- Antono L. MendezDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1578631859
- Lesley Rae Hauck, RNDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1639643687
- Deshonda Chartrice TuckerDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1689532665
- Danielle CharlesDurable Medical Equipment & Medical Supplies Fort Worth, TX NPI 1720838626
About NPI 1336954973
Tiajannae S. Wilson's National Provider Identifier is 1336954973, issued on Feb 11, 2025. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 2, 2025.