Provider Demographics
NPI:1265465298
Name:NORTH TEXAS ORTHOPAEDIC & SPINE, P.A.
Entity Type:Organization
Organization Name:NORTH TEXAS ORTHOPAEDIC & SPINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VUDHI
Authorized Official - Middle Name:V
Authorized Official - Last Name:SLABISAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-592-9955
Mailing Address - Street 1:PO BOX 3127
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8184
Mailing Address - Country:US
Mailing Address - Phone:214-592-9955
Mailing Address - Fax:214-592-9935
Practice Address - Street 1:4510 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 312
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1650
Practice Address - Country:US
Practice Address - Phone:214-592-9955
Practice Address - Fax:214-592-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8689207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty