Provider Demographics
NPI:1366509390
Name:ORTHOPEDIC SPECIALISTS OF NORTH TEXAS, LLP
Entity Type:Organization
Organization Name:ORTHOPEDIC SPECIALISTS OF NORTH TEXAS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-205-4229
Mailing Address - Street 1:2425 HIGHWAY 121
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5011
Mailing Address - Country:US
Mailing Address - Phone:817-540-4477
Mailing Address - Fax:817-540-5633
Practice Address - Street 1:3537 S INTERSTATE 35 E STE 316
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6850
Practice Address - Country:US
Practice Address - Phone:940-205-4229
Practice Address - Fax:940-243-3362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1366509390OtherNPI
TX190665301Medicaid
TXDF7423OtherRAILROAD MEDICARE
TX0017PGOtherBLUE CROSS BLUE SHEILD TX
TXDF7423OtherRAILROAD MEDICARE
TX5840300001Medicare NSC