1134360241 NPI number — TEXAS ORTHOPAEDIC ASSOCIATES LLP

Table of content: (NPI 1134360241)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134360241 NPI number — TEXAS ORTHOPAEDIC ASSOCIATES LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS ORTHOPAEDIC ASSOCIATES LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134360241
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8210 WALNUT HILL LN
Provider Second Line Business Mailing Address:
STE 130 LB 11
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75231-4405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-750-1207
Provider Business Mailing Address Fax Number:
214-739-5029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7115 GREENVILLE AVE
Provider Second Line Business Practice Location Address:
STE 310
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75231-5013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-265-3200
Provider Business Practice Location Address Fax Number:
214-265-3285
Provider Enumeration Date:
03/19/2009

Additional Information

Authorized Official

Authorized Official Last Name:
PASCHAL
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
O
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
214-265-3200

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0106X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207XS0114X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0117X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 126838502 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00L04G . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com