Provider Demographics
NPI:1265862668
Name:ORTHOPEDICS TODAY
Entity Type:Organization
Organization Name:ORTHOPEDICS TODAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTHBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-529-1900
Mailing Address - Street 1:6049 S HULEN ST
Mailing Address - Street 2:100
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4815
Mailing Address - Country:US
Mailing Address - Phone:817-529-1900
Mailing Address - Fax:
Practice Address - Street 1:6049 S HULEN ST
Practice Address - Street 2:100
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4815
Practice Address - Country:US
Practice Address - Phone:817-529-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207QS0010X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty