Provider Demographics
NPI:1417043456
Name:YOURS TRULY
Entity Type:Organization
Organization Name:YOURS TRULY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:LESCOAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-263-0014
Mailing Address - Street 1:6231 OAKMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-2812
Mailing Address - Country:US
Mailing Address - Phone:817-263-0014
Mailing Address - Fax:
Practice Address - Street 1:6231 OAKMONT BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-2812
Practice Address - Country:US
Practice Address - Phone:817-263-0014
Practice Address - Fax:817-263-5779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies