Provider Demographics
NPI:1053078824
Name:HILLTOP ORTHOPEDICS AND SPORTS
Entity Type:Organization
Organization Name:HILLTOP ORTHOPEDICS AND SPORTS
Other - Org Name:HILLTOP ORTHOPEDICS AND SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-265-3260
Mailing Address - Street 1:PO BOX 676928
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-6928
Mailing Address - Country:US
Mailing Address - Phone:214-265-3260
Mailing Address - Fax:214-265-3261
Practice Address - Street 1:12222 N CENTRAL EXPY STE 130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3758
Practice Address - Country:US
Practice Address - Phone:214-265-3260
Practice Address - Fax:972-294-3343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty