Provider Demographics
NPI:1821316498
Name:DOGWOOD ORTHOPAEDIC CLINIC, PA
Entity Type:Organization
Organization Name:DOGWOOD ORTHOPAEDIC CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:C
Authorized Official - Last Name:SESSIONS, M.D.
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-657-1441
Mailing Address - Street 1:612 N HIGH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75652-5914
Mailing Address - Country:US
Mailing Address - Phone:903-657-1441
Mailing Address - Fax:903-655-1442
Practice Address - Street 1:203 NACOGDOCHES ST
Practice Address - Street 2:SUITE 150
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2462
Practice Address - Country:US
Practice Address - Phone:903-586-6289
Practice Address - Fax:903-589-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0535550002Medicare NSC