NPI:
1922355775
Provider Name:
CAPTIVE MEDICAL, PLLC
Former Legal Business Name: CAPTIVE MEDICAL, PA
Classification:
Orthopaedic Surgery - 207XS0117X
Entity Type:
Organization
Specialization: Orthopaedic Surgery of the Spine
Address:
649 NE ALSBURY BLVD
STE 105
BURLESON, TX
ZIP 76028
Phone:
(817) 426-1212
Get Directions
CAPTIVE MEDICAL, PLLC is an orthopaedic surgery of the spine orthopaedic surgery in Burleson, TX. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. CAPTIVE MEDICAL, PLLC NPI is 1922355775. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Captive Medical, Pa.
The provider's business location address is:
649 NE ALSBURY BLVD
STE 105
BURLESON, TX
ZIP 76028-660
Phone: (817) 426-1212
The provider's authorized official is Jason Christopher Tinley .
The authorized official title is Director and has the following contact phone number (817) 916-4685.
The enumeration date for this NPI number is 8/11/2012 and was last updated on 5/28/2015.