Provider Demographics
NPI:1407867278
Name:PARIS ORTHOPEDIC CLINIC PA
Entity Type:Organization
Organization Name:PARIS ORTHOPEDIC CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUNDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-737-0017
Mailing Address - Street 1:3435 NE LOOP 286
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5002
Mailing Address - Country:US
Mailing Address - Phone:903-737-0000
Mailing Address - Fax:903-785-1135
Practice Address - Street 1:3435 NE LOOP 286
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5002
Practice Address - Country:US
Practice Address - Phone:903-737-0000
Practice Address - Fax:903-785-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0948374-05Medicaid
OK100751470AMedicaid
TX00R313OtherMEDICARE
TXCP8628OtherMEDICARE RAILROAD PTAN
OK100751470AMedicaid