Provider Demographics
NPI:1003184755
Name:SOUTHWEST ORTHOPAEDICS
Entity type:Organization
Organization Name:SOUTHWEST ORTHOPAEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREDONDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-449-4406
Mailing Address - Street 1:PO BOX 340969
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-0017
Mailing Address - Country:US
Mailing Address - Phone:915-449-4406
Mailing Address - Fax:512-608-9965
Practice Address - Street 1:1626 MEDICAL CENTER DR
Practice Address - Street 2:500
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5010
Practice Address - Country:US
Practice Address - Phone:915-544-2277
Practice Address - Fax:512-608-9985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5899207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty