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J. TEIG PORT M.D. P.A. NPI 1124157235


NPI Information

NPI: 1124157235
Provider Name: J. TEIG PORT, M.D., P.A.

Doing Business As: ORTHOPAEDIC CENTER OF MESQUITE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 45D2083067

Address:
1106 N GALLOWAY AVE
MESQUITE, TX
ZIP 75149
Phone: (972) 288-3331
Get Directions

J. TEIG PORT, M.D., P.A. is an orthopaedic surgery in Mesquite, 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. J. TEIG PORT, M.D., P.A. NPI is 1124157235. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Orthopaedic Center Of Mesquite.

The provider's business location address is:

1106 N GALLOWAY AVE
MESQUITE, TX
ZIP 75149-436
Phone: (972) 288-3331
Fax: (972) 288-3340

The provider's authorized official is J Teig Port .
The authorized official title is President and has the following contact phone number (972) 288-3331.

The CLIA number assigned to this NPI record is 45D2083067 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 4/21/2009.


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
1225400000XRehabilitation PractitionerNo
2207X00000XOrthopaedic 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16169530001MEDICARE NSCTEXAS
2DA3112OTHERTEXASPALMETTO GBA
3151832601MEDICAIDTEXAS
400485TMEDICARE PINTEXAS

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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