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NORTHEAST ORTHOPAEDIC & SPORTS MEDICINE LLP NPI 1841580727


NPI Information

NPI: 1841580727
Provider Name: NORTHEAST ORTHOPAEDIC & SPORTS MEDICINE, LLP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
12709 TOEPPERWEIN RD
SUITE 101
LIVE OAK, TX
ZIP 78233
Phone: (210) 477-5151
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NORTHEAST ORTHOPAEDIC & SPORTS MEDICINE, LLP is a specialist in Live Oak, 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. NORTHEAST ORTHOPAEDIC & SPORTS MEDICINE, LLP NPI is 1841580727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12709 TOEPPERWEIN RD
SUITE 101
LIVE OAK, TX
ZIP 78233-258
Phone: (210) 477-5151
Fax: (210) 477-5152

The provider's authorized official is David L Fox .
The authorized official title is Managing Partner and has the following contact phone number (210) 477-5151.

The enumeration date for this NPI number is 4/13/2011 and was last updated on 4/13/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistH5882TEXASYes

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: 5/5/2024

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