Provider Demographics
NPI:1922162908
Name:GREATER HOUSTON ORTHOPAEDIC SPECIALISTS, LLP
Entity Type:Organization
Organization Name:GREATER HOUSTON ORTHOPAEDIC SPECIALISTS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORDAGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-333-9333
Mailing Address - Street 1:5420 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 4100
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2107
Mailing Address - Country:US
Mailing Address - Phone:713-333-9333
Mailing Address - Fax:713-333-9343
Practice Address - Street 1:5420 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 4100
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2107
Practice Address - Country:US
Practice Address - Phone:713-333-9333
Practice Address - Fax:713-333-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6323250001Medicare NSC
TX0075BYMedicare PIN