Provider Demographics
NPI:1891930012
Name:STARWOOD ORTHOPAEDICS AND SPORTS MEDICINE
Entity Type:Organization
Organization Name:STARWOOD ORTHOPAEDICS AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSPEH
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCNUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-472-8100
Mailing Address - Street 1:4401 COIT RD
Mailing Address - Street 2:SUITE 407
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0500
Mailing Address - Country:US
Mailing Address - Phone:214-472-8100
Mailing Address - Fax:
Practice Address - Street 1:4401 COIT RD
Practice Address - Street 2:SUITE 407
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0500
Practice Address - Country:US
Practice Address - Phone:214-472-8100
Practice Address - Fax:214-472-8140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty