Provider Demographics
NPI:1003480153
Name:ORTHOWORX
Entity Type:Organization
Organization Name:ORTHOWORX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-828-9665
Mailing Address - Street 1:1000 CAUGHLIN XING STE 55
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0621
Mailing Address - Country:US
Mailing Address - Phone:775-828-9665
Mailing Address - Fax:775-622-4150
Practice Address - Street 1:1000 CAUGHLIN XING STE 55
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-0621
Practice Address - Country:US
Practice Address - Phone:775-828-9665
Practice Address - Fax:775-622-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty