Provider Demographics
NPI:1568896330
Name:THE ORTHO GROUP
Entity Type:Organization
Organization Name:THE ORTHO GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-661-2100
Mailing Address - Street 1:3620 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3615
Mailing Address - Country:US
Mailing Address - Phone:504-208-5522
Mailing Address - Fax:504-302-0710
Practice Address - Street 1:2626 S LOOP W
Practice Address - Street 2:STE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:713-661-2100
Practice Address - Fax:713-838-9738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty