Provider Demographics
NPI:1568471605
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 ADMINISTRATOR
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 1:6020 W PARKER RD
Practice Address - Street 2:STE 240
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8171
Practice Address - Country:US
Practice Address - Phone:972-378-1438
Practice Address - Fax:972-378-1432
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:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0072AZOtherBCBS
TX126838501Medicaid
TX0072AZMedicare PIN
TXCI5015Medicare PIN
TX0072AZOtherBCBS