Provider Demographics
NPI:1689720674
Name:METROPLEX ORTHOPEDICS, P.A.
Entity Type:Organization
Organization Name:METROPLEX ORTHOPEDICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CHOUTEAU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-340-5090
Mailing Address - Street 1:9262 FOREST LN STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6286
Mailing Address - Country:US
Mailing Address - Phone:214-340-5090
Mailing Address - Fax:214-340-9779
Practice Address - Street 1:9262 FOREST LN STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6286
Practice Address - Country:US
Practice Address - Phone:214-340-5090
Practice Address - Fax:214-340-9779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9578207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T33WMedicare ID - Type Unspecified