Provider Demographics
NPI:1821003609
Name:FAMILY ORTHOPEDICS AND REHABILITATION, LLP
Entity Type:Organization
Organization Name:FAMILY ORTHOPEDICS AND REHABILITATION, LLP
Other - Org Name:FAMILY ORTHOPEDICS AND REHABILITATION, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-676-9046
Mailing Address - Street 1:P.O. BOX 152193
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2535
Mailing Address - Country:US
Mailing Address - Phone:817-676-9046
Mailing Address - Fax:817-676-9050
Practice Address - Street 1:609 MATLOCK CENTRE CIR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2535
Practice Address - Country:US
Practice Address - Phone:817-676-9046
Practice Address - Fax:817-676-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207X00000X, 208100000X
TXK3879207X00000X
TXP2970207X00000X
TXJ8599208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0031KZOtherBLUE CROSS BLUE SHIELD
TX327122301Medicaid
TX6227120001OtherMEDICARE DME
TXDB9756OtherRAILROAD MEDICARE
TXG72487Medicare UPIN
TXDB9756OtherRAILROAD MEDICARE
TX6227120001OtherMEDICARE DME
TX00428WMedicare PIN