Provider Demographics
NPI:1386844470
Name:JWATKINSLLC
Entity Type:Organization
Organization Name:JWATKINSLLC
Other - Org Name:BRIDGE ORTHOPEDIC SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:M
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-986-4654
Mailing Address - Street 1:609 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-1231
Mailing Address - Country:US
Mailing Address - Phone:817-275-0300
Mailing Address - Fax:817-275-8871
Practice Address - Street 1:609 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-1231
Practice Address - Country:US
Practice Address - Phone:817-275-0300
Practice Address - Fax:817-275-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies