Provider First Line Business Practice Location Address: 
800 ORTHOPEDIC WAY STE 101
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
ARLINGTON
    Provider Business Practice Location Address State Name: 
TX
    Provider Business Practice Location Address Postal Code: 
76015-1629
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
817-375-5200
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
09/12/2022