Provider Demographics
NPI:1245366285
Name:SUMMIT VIEW ORTHOPAEDICS, P. A.
Entity type:Organization
Organization Name:SUMMIT VIEW ORTHOPAEDICS, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-712-0933
Mailing Address - Street 1:P. O. BOX 451969
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-1969
Mailing Address - Country:US
Mailing Address - Phone:956-712-0933
Mailing Address - Fax:
Practice Address - Street 1:1710 E. SAUNDERS STREET
Practice Address - Street 2:SUITE B450
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-712-0933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00739XMedicare ID - Type Unspecified