Provider Demographics
NPI:1508032624
Name:MOMENTUM ORTHOPAEDIC PRODUCTS, INC.
Entity Type:Organization
Organization Name:MOMENTUM ORTHOPAEDIC PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-804-0808
Mailing Address - Street 1:1907 ASCENSION BLVD STE 420
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6528
Mailing Address - Country:US
Mailing Address - Phone:817-804-0808
Mailing Address - Fax:214-988-1330
Practice Address - Street 1:1907 ASCENSION BLVD STE 420
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6528
Practice Address - Country:US
Practice Address - Phone:817-804-0808
Practice Address - Fax:214-988-1330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies