Provider Demographics
NPI:1598895377
Name:NORTHEAST METROPLEX ORTHOPEDIC ASSOCIATES
Entity Type:Organization
Organization Name:NORTHEAST METROPLEX ORTHOPEDIC ASSOCIATES
Other - Org Name:ORTHOPEDIC & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:N
Authorized Official - Last Name:ZOYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-276-0536
Mailing Address - Street 1:2241 PEGGY LN STE A
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5765
Mailing Address - Country:US
Mailing Address - Phone:722-760-5369
Mailing Address - Fax:972-276-6037
Practice Address - Street 1:2241 PEGGY LN
Practice Address - Street 2:SUITE A
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5732
Practice Address - Country:US
Practice Address - Phone:972-275-0536
Practice Address - Fax:972-276-6037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0061EBOtherBCBS
TX80696001Medicaid
TX00500NMedicare PIN
TX1297990001Medicare NSC