Provider Demographics
NPI:1972271054
Name:SIGNATURE ORTHOPAEDICS, PLLC
Entity Type:Organization
Organization Name:SIGNATURE ORTHOPAEDICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OBI
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-863-9828
Mailing Address - Street 1:2540 N GALLOWAY AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4814
Mailing Address - Country:US
Mailing Address - Phone:972-863-9828
Mailing Address - Fax:
Practice Address - Street 1:2540 N GALLOWAY AVE STE 302
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4814
Practice Address - Country:US
Practice Address - Phone:972-863-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty