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ORTHOPEDIC ASSOCIATES OF DALLAS LLP NPI 1871860882


NPI Information

NPI: 1871860882
Provider Name: ORTHOPEDIC ASSOCIATES OF DALLAS LLP
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
4708 ALLIANCE BLVD
SUITE 310
PLANO, TX
ZIP 75093
Phone: (214) 823-7090
Get Directions

ORTHOPEDIC ASSOCIATES OF DALLAS LLP is an adult reconstructive orthopaedic surgery orthopaedic surgery in Plano, TX. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. ORTHOPEDIC ASSOCIATES OF DALLAS LLP NPI is 1871860882. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4708 ALLIANCE BLVD
SUITE 310
PLANO, TX
ZIP 75093-340
Phone: (214) 823-7090
Fax: (214) 823-1644

The provider's authorized official is Tracy L Jackson .
The authorized official title is Ceo and has the following contact phone number (214) 818-1200.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 4/19/2012.


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 SurgeryNo
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
4207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
5207XX0005XOrthopaedic SurgerySports MedicineNo
6207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
7207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic 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
1083558901MEDICAIDTEXAS
2OOK730MEDICARE PINTEXAS
3OOK730OTHERTEXASBCBS
4CS2507MEDICARE PINTEXAS
50354520001MEDICARE NSCTEXAS

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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