Provider Demographics
NPI:1205845369
Name:TEXAS ORTHOPAEDIC ASSOCIATES, LLP
Entity Type:Organization
Organization Name:TEXAS ORTHOPAEDIC ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOTR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN 'SUZI'
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-750-1207
Mailing Address - Street 1:8210 WALNUT HILL LN
Mailing Address - Street 2:STE 130, LB 11
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4418
Mailing Address - Country:US
Mailing Address - Phone:214-750-1207
Mailing Address - Fax:214-739-5029
Practice Address - Street 1:8210 WALNUT HILL LN
Practice Address - Street 2:STE 130, LB 11
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4418
Practice Address - Country:US
Practice Address - Phone:214-750-1207
Practice Address - Fax:214-739-5029
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS ORTHOPAEDIC ASSOCIATES, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-07
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00L04GOtherBCBS
TX00L04GMedicare PIN
TX00L04GOtherBCBS
TXCI5014Medicare PIN