Provider Demographics
NPI:1174842488
Name:ACTION ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Entity Type:Organization
Organization Name:ACTION ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:HRNACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-627-9077
Mailing Address - Street 1:609 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE #2400
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3836
Mailing Address - Country:US
Mailing Address - Phone:940-627-6201
Mailing Address - Fax:940-626-8651
Practice Address - Street 1:609 MEDICAL CENTER DR
Practice Address - Street 2:SUITE #2400
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3836
Practice Address - Country:US
Practice Address - Phone:940-627-9077
Practice Address - Fax:940-626-8651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7280207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0071TSOtherBCBS
TX6456990001OtherNSC MEDICARE DME
TX219942401Medicaid
TX0071TSOtherBCBS