Provider Demographics
NPI:1639828056
Name:JOINT PAIN AND ORTHOPEDICS, PLLC
Entity Type:Organization
Organization Name:JOINT PAIN AND ORTHOPEDICS, PLLC
Other - Org Name:BONE DRS. ORTHOPEDIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-266-3377
Mailing Address - Street 1:4316 JAMES CASEY BLDG F, #201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745
Mailing Address - Country:US
Mailing Address - Phone:512-266-3377
Mailing Address - Fax:
Practice Address - Street 1:1305 WONDER WORLD DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7502
Practice Address - Country:US
Practice Address - Phone:512-266-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOINT PAIN AND ORTHOPEDICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-22
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies