Provider Demographics
NPI:1922440536
Name:NUADVANCE ORTHOPEDICS, PLLC
Entity Type:Organization
Organization Name:NUADVANCE ORTHOPEDICS, PLLC
Other - Org Name:NUADVANCE ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-423-0990
Mailing Address - Street 1:PO BOX 19612
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77224-9612
Mailing Address - Country:US
Mailing Address - Phone:713-423-0990
Mailing Address - Fax:713-424-8400
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:STE 975
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-423-0990
Practice Address - Fax:713-424-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3782207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty