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WHITE ROCK ORTHOPEDIC ASSOCIATION NPI 1508828146


NPI Information

NPI: 1508828146
Provider Name: WHITE ROCK ORTHOPEDIC ASSOCIATION
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 45D1056719

Address:
10611 GARLAND RD
SUITE 110
DALLAS, TX
ZIP 75218
Phone: (214) 660-0505
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WHITE ROCK ORTHOPEDIC ASSOCIATION is an orthopaedic surgery in Dallas, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. WHITE ROCK ORTHOPEDIC ASSOCIATION NPI is 1508828146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10611 GARLAND RD
SUITE 110
DALLAS, TX
ZIP 75218-666
Phone: (214) 660-0505
Fax: (214) 660-4484

The provider's authorized official is Marc S. Goldman .
The authorized official title is President and has the following contact phone number (214) 660-0505.

The CLIA number assigned to this NPI record is 45D1056719 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 2/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15492190001OTHERTEXASDME/PALMETTO
25492190001MEDICARE NSCTEXAS
30046MSOTHERTEXASBCBS
400298ZMEDICARE ID-TYPE UNSPECIFIEDTEXAS
5DD5388OTHERTEXASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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