LAKEWOOD ORTHOPAEDICS & SPORTS MEDICINE PA NPI 1669538377

NPI Information

LAKEWOOD ORTHOPAEDICS & SPORTS MEDICINE, PA is a specialist in Dallas, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKEWOOD ORTHOPAEDICS & SPORTS MEDICINE, PA NPI is 1669538377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1130 BEACHVIEW
SUITE 100
DALLAS, TX
ZIP 75218-697
Phone: (469) 341-5676
Fax: (469) 341-5677

The provider's authorized official is Terry Gemas .
The authorized official title is Manager and has the following contact phone number (469) 341-5676.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 6/7/2013.

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:

Other Identifiers

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

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