Provider Demographics
NPI:1689205585
Name:TEXAS ORTHOPEDIC SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:TEXAS ORTHOPEDIC SPECIALISTS, PLLC
Other - Org Name:TEXAS ORTHOPEDIC SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYSLIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-540-4477
Mailing Address - Street 1:2425 HIGHWAY 121
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5011
Mailing Address - Country:US
Mailing Address - Phone:817-540-4477
Mailing Address - Fax:817-540-5633
Practice Address - Street 1:3537 SOUTH I-35E
Practice Address - Street 2:SUITE 316
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6850
Practice Address - Country:US
Practice Address - Phone:940-205-4229
Practice Address - Fax:940-243-3362
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS ORTHOPEDIC SPECIALISTS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-29
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty